OBJECTIVE: Congenital coronary artery anomalies are generally incidental, uncommon and asymptomatic. Some can cause severe potentially life threatening symptoms. The common mode of studying the coronary arteries is Conventional Coronary Angiogram. ECG-gated-multidetector CT is a non invasive modality. The objective of our study was to identify rare congenital coronary artery anomalies and discuss their clinical significance. MATERIAL AND METHODS: A total number of 900 MDCT coronary angiograms were carried out at our institution between the period of April 2006 and October 2010. Patients with coronary artery anomaly constituted the subject of study. RESULTS: The incidence of anomalous anatomical origin and course of the coronary arteries in our study was 1.55%. Hemodynamical significance was seen in five patients. 3 cases of single coronary artery originating from right coronary sinus were seen. 1 case of anomalous left coronary artery arising from main pulmonary artery was seen. 4 cases of anomalous RCA arising from left aortic cusp, 6 cases of absent LMCA with separate origin of LAD and LCX were seen. CONCLUSION: Multidetector row CT is a noninvasive modality in cardiac imaging. It provides superior resolution of coronary tree and its variant. No projectional vascular overlap is seen. Various postprocessing techniques outclass catheter angiography imaging. Definition of ostia and proximal course of the coronary arteries by Multidetector CT is better than catheter angiography.
OBJECTIVE:Congenital coronary artery anomalies are generally incidental, uncommon and asymptomatic. Some can cause severe potentially life threatening symptoms. The common mode of studying the coronary arteries is Conventional Coronary Angiogram. ECG-gated-multidetector CT is a non invasive modality. The objective of our study was to identify rare congenital coronary artery anomalies and discuss their clinical significance. MATERIAL AND METHODS: A total number of 900 MDCT coronary angiograms were carried out at our institution between the period of April 2006 and October 2010. Patients with coronary artery anomaly constituted the subject of study. RESULTS: The incidence of anomalous anatomical origin and course of the coronary arteries in our study was 1.55%. Hemodynamical significance was seen in five patients. 3 cases of single coronary artery originating from right coronary sinus were seen. 1 case of anomalous left coronary artery arising from main pulmonary artery was seen. 4 cases of anomalous RCA arising from left aortic cusp, 6 cases of absent LMCA with separate origin of LAD and LCX were seen. CONCLUSION: Multidetector row CT is a noninvasive modality in cardiac imaging. It provides superior resolution of coronary tree and its variant. No projectional vascular overlap is seen. Various postprocessing techniques outclass catheter angiography imaging. Definition of ostia and proximal course of the coronary arteries by Multidetector CT is better than catheter angiography.
Authors: Katarzyna Michaud; Silke Grabherr; Christian Jackowski; Marc Daniel Bollmann; Franceso Doenz; Patrice Mangin Journal: Int J Legal Med Date: 2013-01-16 Impact factor: 2.686
Authors: Sang Hee Song; Seong Eun Suh; Sun Mi Jin; Jie Hye Moon; Yun Kyung Cho; Sang Wook Lim Journal: Korean Circ J Date: 2013-02-28 Impact factor: 3.243
Authors: Jae Hyun Park; Nak Hyun Kwon; Jun Hwan Kim; Yu Jin Ko; Seo Hee Ryu; Seok Jin Ahn; Young Jung Kim; Joo Yeong Baeg; Jung Im Kim Journal: Korean Circ J Date: 2013-01-31 Impact factor: 3.243
Authors: Jelena R Ghadri; Egle Kazakauskaite; Stefanie Braunschweig; Irene A Burger; Michelle Frank; Michael Fiechter; Catherine Gebhard; Tobias A Fuchs; Christian Templin; Oliver Gaemperli; Thomas F Lüscher; Christian Schmied; Philipp A Kaufmann Journal: BMC Cardiovasc Disord Date: 2014-07-08 Impact factor: 2.298