Imaging of congenital anomalies of the coronary arteries

Abstract

Congenital abnormalities of the coronary arteries are extremely variable and include anomalies of their origin (atresia, anomalies of origin from the aorta or from the pulmonary artery), the course of the epicardiac coronary branches (intramural, myocardial bridge) and distal connections (coronary-cardiac chamber fistulae). In pediatric practice, the diagnosis relies on ultrasound which should be supplemented by additional cardiac imaging in most cases. Multidetector CT is the most widely used imaging technique to identify abnormal courses and relationships with the greater vessels. In this paper, the important diagnostic and prognostic features in the interpretation of coronary imaging in pediatric practice is discussed.

Anatomical characteristics of anomalous left coronary artery from the opposite sinus (left-ACAOS) and its clinical relevance: A serial coronary CT angiography study

“…Our study further documented in detail the prevalence of the various subtypes of left-ACAOS. The prevalence of anomalous left coronary artery originating from RCA and RSV was 0.02% and 0.09%, respectively, consistent with previous studies (<0.02–0.05% [25] and <0.1% [26] , respectively). The prevalence of anomalous left coronary artery originating from NSV was relatively low as well (0.01%).…”