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Coronary Artery Anomalies

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Magnetic Resonance Imaging of Congenital Heart Disease

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Abstract

Anomalies of the coronary arteries are paradoxically among the simplest and yet most difficult of subjects to understand in congenital heart disease. Disconcertingly, even the definition of what constitutes an “anomalous” vessel has been disputed in the past. In this chapter we discuss the definition and clinical presentation of common coronary anomalies. We take a look at the use of imaging, particular cardiovascular magentic resonance imaging, for understanding the significance and clinical impact of anomalies and make the case for a direct link between imaging findings and subsequent medical and surgical decision making.

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Authors and Affiliations

  1. University of Ottawa Heart Institute, Ottawa, ON, Canada

    Andrew Crean

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  1. Andrew Crean
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Correspondence to Andrew Crean .

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Editors and Affiliations

  1. Rolf & Merian Gunnar Professor of Medicine-Cardiology, Director Cardiovascular Imaging & Program Director, Cardiovascular Disease Fellowship, Loyola University Medical Center, Maywood, IL, USA

    Mushabbar A. Syed

  2. Professor of Cardiovascular Imaging, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust & National Heart and Lung Institute, Imperial College London, London, UK

    Raad H. Mohiaddin

16.1 Electronic Supplementary Materials

Movie 16.1

Axial whole heart magnetic resonance angiogram depicting the quality of coronary imaging that can be routinely achieved by CMR.

Movie 16.2

Coronal steady state free precession single shot coronal images acquired in quiet respiration for planning of a respiratory navigator sequence

Movie 16.3

4 chamber steady state free precession cine image acquired with a standard temporal resolution of 35-50 msec and reconstructed in 20 frames.

Movie 16.4

4 chamber steady state free precession cine image acquired with a high temporal resolution of 10 msec and reconstructed in 80 frames.

Movie 16.5

Dynamic cardiac CT maximum intensity projection coronal slab demonstrating direct compression of the left main and proximal left anterior descending coronary arteries during cardiac systole.

Movie 16.6

Full volume dynamic maximum intensity projection reconstruction of a gated cardiac CT in a patient with an anomalous right coronary artery from the pulmonary artery (ARCAPA).

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Crean, A. (2023). Coronary Artery Anomalies. In: Syed, M.A., Mohiaddin, R.H. (eds) Magnetic Resonance Imaging of Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-29235-4_16

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