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Detection of malignant right coronary artery anomaly by multi-slice CT coronary angiography

  • Cardiac
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Abstract.

Coronary artery anomalies occur in 0.3–0.8% of the population and infer a high risk for sudden cardiac death in young adults. Diagnosis is usually established during coronary angiography, which is hampered by poor spatial visualization. Magnetic resonance imaging is an alternative, but it is not feasible in the presence of metal objects or claustrophobia. In this report, a 15-year-old boy experienced ventricular fibrillation and was successfully resuscitated. Cardiac catheterization was inconclusive, and pacemaker implantation prohibited the use of MR imaging. Multi-slice CT coronary angiography revealed a malignant anomalous right coronary artery.

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Authors and Affiliations

  1. Department of Radiology, C2-S, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands, , , , ,

    M. Dirksen,  A. de Roos &  H. Lamb

  2. Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands, , , , ,

    J. Bax,  M. Schalij,  W. Jukema,  H. Vliegen &  E. van der Wall

  3. Department of Pediatrics, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands, , , , ,

    N. Blom

Authors
  1. M. Dirksen
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  2. J. Bax
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  3. N. Blom
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  4. M. Schalij
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  5. W. Jukema
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  6. H. Vliegen
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  7. E. van der Wall
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  8. A. de Roos
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  9. H. Lamb
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Dirksen, .M., Bax, .J., Blom, .N. et al. Detection of malignant right coronary artery anomaly by multi-slice CT coronary angiography. Eur Radiol 12 (Suppl 3), S177–S180 (2002). https://doi.org/10.1007/s00330-002-1453-8

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  • DOI: https://doi.org/10.1007/s00330-002-1453-8

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