In patients undergoing valve surgery, invasive coronary angiography (ICA) is recommended to exclude significant coronary artery disease (CAD) in those at significant risk.1 However, in this population, routine ICA often has a low diagnostic yield for detecting obstructive CAD and carries a small but non-negligible risk of major cardiac and vascular complications. Coronary computed tomography angiography (CCTA), with its high sensitivity for detecting stenosis >50 % has emerged as a noninvasi…