Anomalous origin of the coronary artery from the wrong coronary sinus evaluated with computed tomography: “High-risk” anatomy and its clinical relevance

Krupiński, Maciej; Urbańczyk‐Zawadzka, Małgorzata; Laskowicz, Bartosz; Irzyk, Małgorzata; Banyś, Robert; Klimeczek, Piotr; Gruszczyńska, Katarzyna; Baron, Jan

doi:10.1007/s00330-014-3238-2

Cited by 29 publications

(20 citation statements)

References 21 publications

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“…The increased risk is due to the squeeze of a CA by the increased cardiac output during diastolic expansion of the vessels [7]. Moreover, active exercise may increase the preexisting acute angulations of the CAA [28].…”

Section: Discussionmentioning

confidence: 99%

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Congenital coronary artery anomalies in adult population detected using dual source ECG-gated CTA in a single institution

Mathai¹,

Fahmy

Sadek

et al. 2017

Folia Morphol

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Section: Discussionmentioning

confidence: 99%

“…8) is a variant CA resulting from trifurcation of the main left CA. It is present in about 20% (range 15-30%) of the population [13,28]. Moreover, it is considered the most common anatomic variation observed in the left coronary system [13].…”

Section: Discussionmentioning

confidence: 99%

Congenital coronary artery anomalies in adult population detected using dual source ECG-gated CTA in a single institution

Mathai¹,

Fahmy

Sadek

et al. 2017

Folia Morphol

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“…The basic anatomic assessment of the abnormal coronary branch consisted of measurement of the diameters at the most narrowed site at the end of the diastole phase, proximal stenosis length [18], take-off angle [27], characteristic ostium (separate or sharing with the contralateral branch), and the relationship with the surrounding structures (retroaortic, prepulmonic, subpulmonic, parapulmonic, suprapulmonic or interarterial) ( Fig. 1).…”

Section: Image Analysismentioning

confidence: 99%

Prognostic value of dual-source computed tomography (DSCT) angiography characteristics in anomalous coronary artery from the opposite sinus (ACAOS) patients: a large-scale retrospective study

Diao

Zhao

Gao

et al. 2020

BMC Cardiovasc Disord

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Background: Most reported cases of right anomalous coronary artery from the opposite sinus (R-ACAOS) have benign clinical outcomes. However, patients with left ACAOS (L-ACAOS) and some of the patients with R-ACAOS are more at risk for arrhythmias and sudden cardiac death, which remains a major concern. Here we report the prevalence and anatomical features of ACAOS patients. Moreover, we explore the high-risk morphological signs and evaluate their mid-term prognostic value in R-ACAOS patients without surgical intervention. Methods: Data from coronary computed tomography angiography (CTA) of 30,593 patients, pertaining to a single center over 5 consecutive years, were retrospectively analyzed. The image analysis included stenosis severity ranking and high-risk anatomy evaluation, based on the commercially available image post-processing software OsirX. Patients with R-ACAOS and without evidence of coronary atherosclerosis (CAD) were followed-up, with recording of the cardiovascular clinical events. Cox regression analysis was performed to identify the potential anatomical risk factors of cardiovascular clinical events for non-CAD R-ACAOS patients, using R project. Results: The prevalence of ACAOS in the study population was 0.69% (211/30593). Significant differences were found between patients with mild (< 50%) and severe (> 50%) stenosis, in terms of height-to-weight ratio (HW ratio), takeoff angle, and proximal stenosis length. A total of 54 cardiovascular clinical events were observed among 108 non-CAD R-ACAOS patients and an average follow-up of 27.8 ± 18.7 months. Among those patients' anatomical features, stenosis severity was the main risk factor for cardiovascular clinical events during the mid-term follow-up, with a risk ratio of 4.14 (95% CI: 1.78 to 9.63, P < 0.001).

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“…It CTA is able to diagnose the anomaly and provides better images of the anatomic course compared to invasive coronary angiography. Therefore, it may give prognostic information detecting high-risk variants and it is considered the gold standard for this purpose with a Class I recommendation [4,5].…”

Section: Introductionmentioning

confidence: 99%

Clinical Features and Management of Patients with an Anomalous Origin of the Coronary Arteries

Espejo-Paeres¹,

Carmen²,

Martínez-Losas³

et al. 2018

Int Arch Cardiovasc Dis

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Anomalous origin of the coronary artery from the wrong coronary sinus evaluated with computed tomography: “High-risk” anatomy and its clinical relevance

Abstract: • Multislice computed tomography enables detection and evaluation of the coronary artery anomalies. • Anomalous anatomy of the coronary artery potentially influences the prevalence of adverse events. • Adverse events tend to be most common in anomalous right coronary arteries.

Cited by 29 publications

References 21 publications

Congenital coronary artery anomalies in adult population detected using dual source ECG-gated CTA in a single institution

Congenital coronary artery anomalies in adult population detected using dual source ECG-gated CTA in a single institution

Prognostic value of dual-source computed tomography (DSCT) angiography characteristics in anomalous coronary artery from the opposite sinus (ACAOS) patients: a large-scale retrospective study

Clinical Features and Management of Patients with an Anomalous Origin of the Coronary Arteries

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