Learning objectives
To discuss the current knowledge of the anatomy,
pathophysiology and clinical aspects of coronary artery anomalies
To describe cardiac CT imaging findings
To identify most frequent coronary anomalies
Recognize and illustrate the variants and congenital anomalies of the coronary anomalies
Discuss the spectrum of coronary artery variants and anomalies,
with emphasis on their hemodynamic significance and importance in preprocedural planning and therapy.
Background
Definitions
Coronary artery anomalies are defined as an abnormality of the origin,
direction,
and coronary artery bifurcations.
This definition of anomalies of the coronary arteries is incomplete,
as we still do not have full recommendations for the diagnosis and treatment of these anomalies.
The most widely accepted attitude Angelini that "can be considered a normal variation of each coronary artery that has a frequency of > 1% in the general population" (1-3).
Clinical presentation
The biggest obstacle to solving this problem is a great variety...
Findings and procedure details
Study group and examination protocol
The aim of the research was to establish the prevalence of the coronary arteries anomalies in our population.
The study group included 1562 patients (810 men, 752 women,
mean age 64.3 ± 12 years,
range 32–80) which were scheduled for Multi-Slice Computed Tomography (MSCT) that enables detailed visualization of coronary arteries and heart anatomy.
They were referred to the Department of Radiology Clinical Center Nis,
Serbia. Exclusion criteria were patients with previous allergic reaction to iodinated contrast,
pregnant women,
heart...
Conclusion
Knowledge of anomalies of the coronary arteries and their recognition of the multi-slice computed tomography is of great importance for the further planning of a possible therapeutic treatment.
Coronary anomalies that are treated as insignificant will require further therapeutic treatment.
However,
the detection of malignant coronary anomalies will certainly save many lives.
Personal information
Thank you for viewing our exhibit.
We hope you liked it.
For any questions,
feel free to mail:
[email protected]
Dragana Ilic,
MD,
PhD
radiologist
Department of Radiology,
Clinical Center Nis,
Serbia
Sonja Jankovic,
MD
PhD student of medical sciences
Medical Faculty University of Nis
[email protected]
References
Angelini P,
Valesco JA,
Flamm S.
Coronary anomalies.
Incidence,
pathophysiology and clinical relevance.
Circulation 2002;105:2449-54.
Angelini P.
Coronary anomalies.
An entity in search of an identity.
Circulation 2007;115:1296-305.
Angelini P.
Coronary artery anomalies – current clinical issues.
Definition,
classification,
incidence,
clinical relevance,
and treatment guidelines.
Tex Heart Inst J 2002;29:271-8.
Warnes CA,
Williams RG,
Bashore TM,
et al.
ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines...