Visualization of coronary artery anomalies and their anatomic course by contrast-enhanced electron beam tomography and three-dimensional reconstruction

Ropers, Dieter; Moshage, Werner; Daniel, Werner G.; Jessl, Jürgen; Gottwik, Martin; Achenbach, Stephan

doi:10.1016/s0002-9149(00)01315-1

Cited by 184 publications

(100 citation statements)

References 25 publications

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“…Some of them have been already mentioned above SPI CX LAD RCA www.intechopen.com (Fujimoto et al, 2011, Schmitt et al 2005, Rodriguez-Granillo et al, 2009). In a series of 28 patients with known ANOCOR (4 LMCA, 15 CX coronary arteries and 9 RCA), the origin and ectopic course was correctly identified in all patients (Ropers et al, 2001). All patients had had previously an X-ray coronary arteriography.…”

Section: Multidetector Computed Tomography Angiographymentioning

confidence: 91%

Proximal Anomalous Connections of Coronary Arteries in Adults

Aubry¹,

Fretay²,

Calvert³

et al. 2012

Congenital Heart Disease - Selected Aspects

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Section: Multidetector Computed Tomography Angiographymentioning

confidence: 91%

Proximal Anomalous Connections of Coronary Arteries in Adults

Aubry¹,

Fretay²,

Calvert³

et al. 2012

Congenital Heart Disease - Selected Aspects

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“…Transesophageal echocardiography has been shown to accurately assess coronary anatomy in adults with an image quality suitable to detect and evaluate the anomalous course and/or origin of a coronary vessel [11][12]. In the past few years both Computed Tomography of the Coronary Arteries (CTCA) and Magnetic Resonance Coronary Angiography have gained a pivotal role for the identification and depiction of such malformations [13][14] and at present are considered the gold standard for the diagnostic evaluation of suspected coronary anomalies [15][16].…”

Section: International Cardiovascular Forum Journal 8 (2016)mentioning

confidence: 99%

Prevalence of the Anomalous Aortic Origin of a Left Coronary Artery from the Right Coronary Sinus and Posterior Course: detection by Transthoracic Echocardiography in an Unselected Ambulatory Population

Casolo

Meglio

Magnacca

et al. 2016

ICFJ

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Background: Transthoracic echocardiography (TTE) may detect the origin and/or abnormal course of coronary epicardial vessels. We describe a novel TTE pattern specific for the anomalous origin of a left coronary vessel from the right coronary sinus and a posterior course and its prevalence in an unselected population of ambulatory patients. Methods: We prospectively studied 3692 consecutive patients who performed a routine TTE. In these subjects we looked for an abnormal finding that we found associated with the anomalous aortic origin of a coronary artery. Computed Tomography of the Coronary Arteries (CTCA) was performed in each suspected case. Results: We found a TTE aspect suggestive for a coronary anomaly and a retroaortic course in 16 subjects out of the 3298 studied (0,48%). CTCA invariably confirmed the presence of the anomaly. In 15 out of the 16 patients the left coronary vessel originating from the right coronary sinus (RCS) was the left circumflex artery (LCX). In the remaining patient the anomalous vessel was the left main coronary artery . Conclusions: We found a TTE sign specific for a particular kind of coronary anomaly. By using TTE it is possible to detect the retroaortic course of an anomalous left coronary vessel originating from the RCS. This pattern was found to be rare but pathognomonic for this specific kind of congenital anomaly. The ability to detect this specific kind of coronary anomaly by TEE may be relevant to the patient in some cases thus representing useful clinical information.

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“…Nowadays cardiac catheterisation is relatively accessible tool, what means that in future more anatomical variations may be diagnosed. Nevertheless, new non-invasive assessment studies are developed like computed tomography angiography [13,14,20] or magnetic resonance imaging [7,12], that are potentially better diagnostic tools.…”

Section: Case Reportmentioning

confidence: 99%