Anomalous coronary arteries in adults detected by multislice computed tomography: presentation of cases from multicenter registry and review of the literature

Abstract

Anomalous coronary arteries are a rare condition, but they may cause myocardial ischemia, heart failure, and sudden death. We evaluated the prevalence and multislice computed tomographic (MSCT) findings of anomalous coronary arteries in a large number of patients from the multicenter registry. At four institutes, 29 (0.74%) out of 3910 patients were found to have anomalous coronary arteries by MSCT. They consisted of 15 patients with anomalous origins of the right coronary artery, 1 with right-sided origin of the left circumflex artery, 1 with right-sided origin of the left main coronary artery, 2 with double right coronary arteries, 2 with the absence of the left circumflex artery, 1 with absence of the right coronary artery, 6 with coronary artery fistulas, and 1 with Bland-White-Garland syndrome. Multislice computed tomography findings were consistent with those obtained by conventional coronary angiography in all 14 patients undergoing both diagnostic procedures. Multislice computed tomography permits three-dimensional comprehension of coronary arteries, which is suitable for the diagnosis of anomalous coronary arteries.

Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience

“…The clinical presentations consisted of dyspnea [111,112] , palpitations [69,81] , syncope [83] , angina pectoris [113,114] , chest pain [84] , fatigue [66,115] , CHF [45] and IE [39,40,43] . The termination of RCA fistulas was variable: RA 26%, RV 25%, PA 16%, CS 11%, left LV 12%, LA 3%, SVC 5%, RVOT 1% and PV 1% [33,41,72,70,110,116] . The clinical presentations were angina pectoris [27,35,79] , chest pain [9,31,51,117] , dyspnea [36,68] , palpitations [33] and syncope [118] .…”

“…The clinical presentations of LAD fistulas were usually chest pain [76] , angina pectoris [90,95] , dyspnea [41,82,92,[96][97][98] , fatigue [99] , palpitations [1,74] , syncope [100] , CHF [77,[101][102][103] or IE [1,38] . Cx fistulas terminated into the PA in (23%) [47,104] , but the majority ended in the CS in 40% [43,[105][106][107][108][109] and the RA in 15% [73,78,110] of cases. The clinical presentations consisted of dyspnea [111,112] , palpitations [69,81] , syncope [83] , angina pectoris [113,114] , chest pain [84] , fatigue [66,115] , CHF [45] and IE [39,40,43] .…”

Prevalence of left main coronary artery disease among patients referred to multislice computed tomography coronary examinations

“…Recent evidence suggests that left main coronary artery disase (LMCAD) detected by MSCT is also associated with adverse outcome [6]. Although MSCT has proven to be a reliable method for assessing many forms of coronary artery disase (CAD) [7][8][9][10][11][12][13][14][15], data on the prevalence of LMCAD are currently limited by CCA studies [16,17] and autopsy findings [18]. The aim of our study was to evaluate the prevalence and predictors of LMCAD in a large cohort of patients referred to 64-slice computed tomography coronary angiography examinations.…”

Off-pump surgical correction of abnormal discharge of the right coronary artery from the pulmonary trunk

“…Абрикосов. В 1933 г. американские кардиологи Е. Бланд (Edward Franklin Bland), П. Уайт (Paul Dudley White) и Й. Гарланд (Joseph Garland) подробно описали клинические и электрокардио-графические ЭКГ-признаки данной аномалии, за что дан-ный синдром назвали в их честь [4,7,9]. Последующие описания порока были также только случайными наход-ками при операциях по поводу сопутствующих пороков.…”

“…Бураковский в 1974 г. [1,2,7]. В дальнейшем были разработаны методики коррекции данного порока, создающие более адекватное кровоснабжение миокарда: транслокация устья артерии в аорту.…”