AIMS: We sought to describe our experience with major coronary anomalies (MCAs) diagnosed in transthoracic echocardiography (TTE) in a large adult and paediatric population. MCAs may have serious clinical consequences. No echocardiographic studies have prospectively screened MCA in a general adult and paediatric population. METHODS AND RESULTS: From June 2008 to January 2012, a systematic search for MCA was prospectively conducted in children and adult patients, coming for a TTE. Three thousand five hundred and two patients (84% adults and 16% children) underwent a TTE. Fourteen coronary anomalies (0.39%) were diagnosed: nine anomalous origins of coronary artery from the opposite sinus with inter-arterial course, one abnormal left coronary artery from the pulmonary artery, three single coronary ostia, and one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations and three coronary bypass grafting. Ten patients had already undergone at least one TTE with the anomalous coronary artery being neither diagnosed nor suspected. CONCLUSIONS: MCA is a rare condition. TTE appears to be a potentially useful modality for the initial screening of MCA in adults and children, provided special attention is paid to coronary artery analysis. Published on behalf of the European Society of Cardiology. All rights reserved.
AIMS: We sought to describe our experience with major coronary anomalies (MCAs) diagnosed in transthoracic echocardiography (TTE) in a large adult and paediatric population. MCAs may have serious clinical consequences. No echocardiographic studies have prospectively screened MCA in a general adult and paediatric population. METHODS AND RESULTS: From June 2008 to January 2012, a systematic search for MCA was prospectively conducted in children and adult patients, coming for a TTE. Three thousand five hundred and two patients (84% adults and 16% children) underwent a TTE. Fourteen coronary anomalies (0.39%) were diagnosed: nine anomalous origins of coronary artery from the opposite sinus with inter-arterial course, one abnormal left coronary artery from the pulmonary artery, three single coronary ostia, and one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations and three coronary bypass grafting. Ten patients had already undergone at least one TTE with the anomalous coronary artery being neither diagnosed nor suspected. CONCLUSIONS:MCA is a rare condition. TTE appears to be a potentially useful modality for the initial screening of MCA in adults and children, provided special attention is paid to coronary artery analysis. Published on behalf of the European Society of Cardiology. All rights reserved.
Authors: Yuan Tian; Ying Yuan; Hang Lu; Liang Xu; Wei Xian Yang; Chao Wei Mu; Hai Bo Liu; Jue Chen; Ke Fei Dou; Yi Da Tang; Jin Qing Yuan; Yong Jian Wu; Hong Bing Yan; Bo Xu; Shu Bin Qiao; Yue Jin Yang; Run Lin Gao; Hong Qiu Journal: Int J Cardiovasc Imaging Date: 2018-04-13 Impact factor: 2.357
Authors: Matthew D Grant; Ryan D Mann; Scott D Kristenson; Richard M Buck; Juan D Mendoza; Jason M Reese; David W Grant; Eric A Roberge Journal: Radiographics Date: 2021-06-11 Impact factor: 6.312
Authors: Fleur M M Meijer; Anastasia D Egorova; Monique R M Jongbloed; Claire Koppel; Gracia Habib; Mark G Hazekamp; Hubert W Vliegen; Philippine Kies Journal: Interact Cardiovasc Thorac Surg Date: 2021-01-01