Coronary Artery Anomalies

Erol, Cengiz; Şeker, Mehmet

doi:10.1097/rct.0b013e31822aef59

Cited by 60 publications

(26 citation statements)

References 35 publications

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“…CMR is capable of visualizing the origin of the coronary arteries non-invasively, without use of ionizing radiation and contrast agents. Currently however, due to spatial resolution, the capability of CMR to visualize smaller coronary branches is still a limiting factor preventing full assessment of coronary arteries using this modality [2,9,10,12,14,17,19,23,25,44,46,54,55] . This aim of this review was to give a good overview of coronary artery anomalies and their clinical sequelae.…”

Section: Imagingmentioning

confidence: 99%

Coronary artery anomalies overview: The normal and the abnormal

Villa¹,

Sammut²,

Nair³

et al. 2016

WJR

259

261

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The aim of this review is to give a comprehensive and concise overview of coronary embryology and normal coronary anatomy, describe common variants of normal and summarize typical patterns of anomalous coronary artery anatomy. Extensive iconography supports the text, with particular attention to images obtained in vivo using non-invasive imaging. We have divided this article into three groups, according to their frequency in the general population: Normal, normal variant and anomaly. Although congenital coronary artery anomalies are relatively uncommon, they are the second most common cause of sudden cardiac death among young athletes and therefore warrant detailed review. Based on the functional relevance of each abnormality, coronary artery anomalies can be classified as anomalies with obligatory ischemia, without ischemia or with exceptional ischemia. The clinical symptoms may include chest pain, dyspnea, palpitations, syncope, cardiomyopathy, arrhythmia, myocardial infarction and sudden cardiac death. Moreover, it is important to also identify variants and anomalies without clinical relevance in their own right as complications during surgery or angioplasty can occur.

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Section: Imagingmentioning

confidence: 99%

Coronary artery anomalies overview: The normal and the abnormal

Villa¹,

Sammut²,

Nair³

et al. 2016

WJR

259

261

View full text Add to dashboard Cite

show abstract

“…These discrepancies may be explained by the volumetric nature of CT, better characterization of mediastinal anatomy [2], as well as the lower rate of success in the difficult cannulation of anomalous arteries (31–55%) in angiography [10].…”

Section: Discussionmentioning

confidence: 99%

“…Both right and left coronaries may be involved [10], with some recent series reporting high prevalence of bilateral fistula (up to 50% of CAF cases) [3], [8].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient

Silva

Donato

et al. 2016

European Journal of Radiology Open

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We report the imaging findings of an uncommon coronary vascular termination anomaly, with fistula to the pulmonary artery.This 70 year old female patient presented unstable angina, showing a coronary artery fistula depicted in coronary angiogram from the left coronary to the pulmonary artery, with no significant atherosclerotic pathology.Due to development of ventricular tachycardia in stress echocardiogram examination, she was proposed for coronary fistula closure.Coronary CT was performed for procedure planning and allowed the identification of a second unsuspected fistula from the right coronary to the right pulmonary artery.Congenital coronary anomalies are a possible cause of symptomatic coronary pathology in patients of any age. In older patients, coronary artery fistulas are rare, especially when symptomatic. Adequately performed CT examinations, using its post processing capabilities, with 3D and MIP reconstructions are invaluable in delineating coronary anatomy, essential for further treatment planning.

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“…Coronary artery anomalies are found in 0.9%–1.3% of patients undergoing coronary angiography [1, 2]. Anomalous origin of the left main coronary artery or right coronary artery from the aorta coursing between the aorta and pulmonary trunk is rare and can be sometimes life-threatening.…”

Section: Discussionmentioning

confidence: 99%

“…After hypertrophic cardiomyopathy, coronary artery anomalies are the second most common cause of sudden cardiac deaths among young athletes. Coronary artery anomalies are also the most common cause of nontraumatic sudden deaths in young American military recruits [2–4]. In a recent study, coronary artery anomalies were the cause of death in up to 19% of young athletes who died during or shortly after strenuous physical activity [3].…”

Section: Discussionmentioning

confidence: 99%

Anomalous Right Coronary Artery from Left Main Coronary Artery and Subsequent Coursing between Aorta and Pulmonary Trunk

Panikkath

Strefling

Rosales

et al. 2013

Case Reports in Medicine

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Anomalous origin of left main coronary artery or right coronary artery from the aorta with subsequent coursing between the aorta and pulmonary trunk is rare and can be sometimes life threatening. After hypertrophic cardiomyopathy, coronary artery anomalies are the second most common cause of sudden cardiac deaths among young athletes. This is a case presentation of an anomalous origin of right coronary artery from left main coronary artery coursing between the pulmonary trunk and aorta. Patient presented with STEMI and had coronary bypass surgery.

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Coronary Artery Anomalies

Abstract: Computed tomography angiography provides essential information about CAAs to interventional cardiologists and surgeons that helps to prevent incorrect procedures by showing the exact origin, complex anatomy, course, and termination of the coronary arteries.

Cited by 60 publications

References 35 publications

Coronary artery anomalies overview: The normal and the abnormal

Coronary artery anomalies overview: The normal and the abnormal

Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient

Anomalous Right Coronary Artery from Left Main Coronary Artery and Subsequent Coursing between Aorta and Pulmonary Trunk

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