Non-coronary abnormalities of the left heart: CT angiography findings

Öztürk, Ersin; Kafadar, Cahit; Tutar, Suleyman; Bozlar, Uğur; Hagspiel, Klaus D.

doi:10.14744/anatoljcardiol.2016.7204

Cited by 5 publications

(9 citation statements)

References 29 publications

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“…Coronary CTA has the added ability to depict extracardiac lesions of the chest and scanned upper abdomen. These incidental lesions can often present a challenge to physicians because of the potential benefits and risks of identifying such lesions [ 30 - 32 ].…”

Section: Discussionmentioning

confidence: 99%

Inter-observer agreement of the Coronary Artery Disease Reporting and Data System (CAD-RADS<sup>TM</sup>) in patients with stable chest pain

Razek¹,

Elrakhawy²,

Youssef³

et al. 2018

Pol J Radiol

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PurposeTo assess inter-observer variability of the Coronary Artery Disease – Reporting and Data System (CAD-RADS) for classifying the degree of coronary artery stenosis in patients with stable chest pain.Material and methodsA prospective study was conducted upon 96 patients with coronary artery disease, who underwent coronary computed tomography angiography (CTA). The images were classified using the CAD-RAD system according to the degree of stenosis, the presence of a modifier: graft (G), stent (S), vulnerable plaque (V), or non-diagnostic (n) and the associated coronary anomalies, and non-coronary cardiac and extra-cardiac findings. Image analysis was performed by two reviewers. Inter-observer agreement was assessed.ResultsThere was excellent inter-observer agreement for CAD-RADS (k = 0.862), at 88.5%. There was excellent agreement for CAD-RADS 0 (k = 1.0), CAD-RADS 1 (k = 0.92), CAD-RADS 3 (k = 0.808), CAD-RADS 4 (k = 0.826), and CAD-RADS 5 (k = 0.833) and good agreement for CAD-RADS 2 (k = 0.76). There was excellent agreement for modifier G (k = 1.0) and modifier S (k = 1.0), good agreement for modifier N (k = 0.79), and moderate agreement for modifier V (k = 0.59). There was excellent agreement for associated coronary artery anomalies (k = 0.845), non-coronary cardiac findings (k = 0.857), and extra-cardiac findings (k = 0.81).ConclusionsThere is inter-observer agreement of CAD-RADS in categorising the degree of coronary arteries stenosis, and the modifier of the system and associated cardiac and extra-cardiac findings.

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Section: Discussionmentioning

confidence: 99%

Inter-observer agreement of the Coronary Artery Disease Reporting and Data System (CAD-RADS<sup>TM</sup>) in patients with stable chest pain

Razek¹,

Elrakhawy²,

Youssef³

et al. 2018

Pol J Radiol

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“…Atrial or interatrial septal aneurysms (ASAs) are characterized as outpouchings (with a protrusion >11 mm to either side in adults) of the interatrial septum beyond the interatrial septal plane ( Figure 11 , Supplementary Video 3 ). 12 , 13 They are often congenital, and patients with ASAs are usually asymptomatic. Atrial septal aneurysms are divided into different subgroups according to their dynamic protrusion into the right and left atrium (LA) on echocardiography.…”

Section: Atrial Outpouchingsmentioning

confidence: 99%

“… 12 They can be associated with patent foramen ovale (PFO), atrial septal defect, stroke, and thromboembolism. 13 Therefore, when ASAs are detected, accompanying findings should be carefully examined. Treatment is not recommended in patients with ASAs unless complications occur.…”

Section: Atrial Outpouchingsmentioning

confidence: 99%

“…AAs and diverticula of the LA are common outpouchings of the LA, and both are considered anatomical variants. 1 , 13 Although AAs are characterized by outpouchings with trabeculated contours and a small base, LA diverticula are characterized by outpouchings with smooth contours and a broad base ( Figure 13 ). Both are usually located in the anterior upper wall of the LA and can be associated with thromboembolism, stroke, and arrhythmia.…”

Section: Atrial Outpouchingsmentioning

confidence: 99%

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Cross-sectional imaging findings of cardiac outpouchings

Ufuk¹,

Hazırolan²

2023

dir

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A cardiac outpouching (CO) is a protrusion in a heart chamber's internal anatomical lining. Most COs are clinically insignificant, but some are of vital importance, requiring immediate surgery. Cross-sectional imaging findings of COs, such as location, morphology, size, and accompanying wall motion abnormalities, play an essential role in determining the correct diagnosis and appropriate clinical management. Therefore, radiologists should be familiar with them. This article reviews the key cross-sectional imaging findings and differential diagnoses of COs.

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“…GAR may be helpful to diagnose and determine the severity of the CAD. Coronary computed tomography angiography (CCTA) is a non-invasive test that offers substantially accurate results regarding the anatomy of coronary arteries and provides additional information about the presence, severity, and morphology of coronary plaques (10)(11)(12)(13)(14). Guidelines recommend CCTA as the first-line imaging tool to evaluate acute chest pain and stable angina pectoris in patients with mild to moderate risk (15).…”

Section: Introductionmentioning

confidence: 99%

Gamma-glutamyl transferase to albumin ratio can predict severity of coronary artery disease detected by coronary computed tomography angiography

Topal

Kızıltunç

Sezenöz

et al. 2021

Anatolian J Cardiol

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Objective: Gamma-glutamyl transferase (GGT) to albumin ratio (GAR) has been shown to be helpful to diagnose and determine the severity of coronary artery disease (CAD). Coronary computed tomography angiography (CCTA) is a guide recommended non-invasive test that provides information about the presence, severity, and morphology of coronary plaques. In this study, our main aim was to investigate the relationship between the presence, morphology, and severity of coronary plaques detected via CCTA and GAR in patients with low to moderate risk for undiagnosed CAD. Methods: Nine hundred and sixty six patients were included who underwent CCTA. The severity of CAD and plaque morphology were investigated. CT-adapted Leaman score (CT-LeSc) was calculated to determine the extent of the CAD. The study population was further evaluated in three groups according to tertiles of GAR. Results: Atherosclerotic plaques were more common in the male gender and older patients with conventional cardiovascular risk factors. GAR was significantly lower in patients with normal CCTA than in patients with a non-obstructive plaque or obstructive plaque on CCTA. Patients in upper GAR tertiles had a higher coronary calcium score (CACS) and CT-LeSc. GAR was one of the independent predictors to predict severe stenotic plaque and high CACS. Conclusion: GAR can independently predict the presence, extent, and severity of CAD determined by CT-LeSc. We believe as a cheap, safe, and widely available tool, GAR would be useful in the diagnosis of CAD.

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Non-coronary abnormalities of the left heart: CT angiography findings

Cited by 5 publications

References 29 publications

Inter-observer agreement of the Coronary Artery Disease Reporting and Data System (CAD-RADS<sup>TM</sup>) in patients with stable chest pain

Inter-observer agreement of the Coronary Artery Disease Reporting and Data System (CAD-RADS<sup>TM</sup>) in patients with stable chest pain

Cross-sectional imaging findings of cardiac outpouchings

Gamma-glutamyl transferase to albumin ratio can predict severity of coronary artery disease detected by coronary computed tomography angiography

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