Anomalous origin of the coronary arteries in children: diagnostic role of three-dimensional coronary MR angiography

Clemente, Alberto; Borrello, Mario Del; Greco, Pietro; Mannella, Paolo; Gregorio, F. Di; Romano, Silvia; Morra, Aldo

doi:10.1016/j.clinimag.2009.08.030

Cited by 20 publications

(11 citation statements)

References 34 publications

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“…In this [19] ; B and C: Interarterial coronary artery in a 56-year-old man with chest pain. CT image (B) and volume-rendered image (C) show an interarterial LAD artery (arrow) arising from the RCA and coursing between the aorta (Ao) and pulmonary artery (PA).…”

Section: Atresia Of Coronary Ostiummentioning

confidence: 90%

“…The prevalence of this anomaly has a wide range from 0.15%-25% angiographically, to between 5% and 86% at autopsy. However, many reports from angiography may underestimate the prevalence of this anomaly, as recent studies with computed tomography (CT) [19] have shown that myocardial bridging can be found in up to 25% of patients. In most of the cases the coronary involved was the proximal LAD, but it can occur in any segment.…”

Section: Myocardial Bridgingmentioning

confidence: 99%

“…Baitaxe et al [43] reported a case of LAD arising from [17,18] ; E-H: Case of single coronary artery arising from the right sinus of Valsalva with interarterial course of the left main coronary artery and distal origin of left circumflex (arrows) seen on three-dimensional cardiac magnetic resonance multiplanar reconstruction, MIP and volume rendering images [19] . Villa ADM et al .…”

Section: Anomalies Of Origin Of Ladmentioning

confidence: 99%

“…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%

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Coronary artery anomalies overview: The normal and the abnormal

Villa¹,

Sammut²,

Nair³

et al. 2016

WJR

293

281

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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: Atresia Of Coronary Ostiummentioning

confidence: 90%

Section: Myocardial Bridgingmentioning

confidence: 99%

Section: Anomalies Of Origin Of Ladmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

See 2 more Smart Citations

Coronary artery anomalies overview: The normal and the abnormal

Villa¹,

Sammut²,

Nair³

et al. 2016

WJR

293

281

View full text Add to dashboard Cite

show abstract

“…Additional imaging studies, such as coronary CT angiography or cardiac MRI are reasonable to better visualize the coronary artery anatomy and to confirm the diagnosis. (Class IIa, Level of Evidence B-supporting references 40,46,52,59,63,67,[69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][89][90][91][92][93][94][95]100 ) 3. In those individuals without a history of ischemic chest pain or aborted SCD, exercise stress testing combined with nuclear perfusion scan or echocardiographic imaging should be used to help assess the potential ischemic burden of the anatomic variant.…”

Section: Individuals With Suspected Aaoca Shouldmentioning

confidence: 99%

Expert consensus guidelines: Anomalous aortic origin of a coronary artery

Brothers

Frommelt

Jaquiss

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

268

340

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Anomalous aortic origin of the right coronary artery. Central Message We sought to establish evidence-based guidelines for the management anomalous aortic origin of a coronary artery. Perspective Anomalous aortic origin of a coronary artery is associated with sudden cardiac death. Although the risk for any single affected individual is small, the loss of an otherwise healthy person is particularly devastating. Surgical and interventional therapies have been developed that appear to be protective but these therapies carry risks. The challenge is identifying those individuals at such risk.

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Coronary Artery Anomalies

Crean

2012

Magnetic Resonance Imaging of Congenital Heart Disease

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Anomalous origin of the coronary arteries in children: diagnostic role of three-dimensional coronary MR angiography

Cited by 20 publications

References 34 publications

Coronary artery anomalies overview: The normal and the abnormal

Coronary artery anomalies overview: The normal and the abnormal

Expert consensus guidelines: Anomalous aortic origin of a coronary artery

Coronary Artery Anomalies

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