This book provides a carefully selected compilation of challenging cases representative of the situations and pathologies likely to be encountered when performing cardiovascular imaging using CT. The conditions covered include coronary artery disease, anomalous coronary arteries, congenital heart disease, coronary artery bypass grafts, infectious diseases, structural heart disease, tumors, and aortic pathology. The book also provides insights into various scanning techniques geared towards the pre-procedural use of cardiac CTA in patients undergoing atrial fibrillation ablation, thoracic endovascular aortic repair, or transcatheter aortic valve replacement. In addition, scanning techniques for some of the more difficult cases that a cardiac imager may encounter in practice are reviewed. All images are high-resolution reproductions, and subsequent cardiac catheterization images are included for cases in which obstructive coronary artery disease was revealed. Clinical Pearls in Diagnostic Cardiac Computed Tomographic Angiography is specifically designed to meet the needs of residents, fellows, and physicians who have an interest in cardiovascular CT.