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Cardiac CTA of Congenital Coronary and Other Anomalies

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Coronary Artery CTA

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Abstract

Cardiac CTA is currently the best noninvasive study for the evaluation of congenital coronary anomalies. One can easily evaluate the anomalous origin, course, and termination of the artery. To the contrary, this can be very challenging with coronary angiography and may necessitate placement of a second catheter in the pulmonary artery. PGA is an excellent low-radiation technique for the evaluation of these patients.

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References

  1. Mojadidi MK, Christia P, Salamon J, Liebelt J, Zaman T, et al. Patent foramen ovale: unanswered questions. Eur J Intern Med. 2015;26(10):743–51. https://doi.org/10.1016/j.ejim.2015.09.017. Epub 2015 Oct 17.

    Article  PubMed  Google Scholar 

  2. Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc. 1984;59(1):17–20.

    Article  CAS  PubMed  Google Scholar 

Suggested Reading

  • Bayne EJ, Cronin L. Sinus of Valsalva aneurysm, http://www.emedicine.com/ped/topic2106.htm.

  • Bhatti S, Hakeem A, Ahmad U, et al. Persistent left superior vena cava (PLSVC) with anomalous left hepatic vein drainage into the right atrium: role of imaging and clinical relevance. Vasc Med. 2007;12(4):319–24.

    Article  PubMed  Google Scholar 

  • Cademartiri F, La Grutta L, Malagò R, et al. Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. Eur Radiol. 2008;18(4):781–91. Epub 2008 Feb 2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cademartiri F, Malagò R, La Grutta L, et al. Coronary variants and anomalies: methodology of visualisation with 64-slice CT and prevalence in 202 consecutive patients. Radiol Med. 2007;112(8):1117–31.

    Article  CAS  PubMed  Google Scholar 

  • Carr MR. Atrial septal defect, general concepts. http://www.emedicine.com/ped/topic171.htm.

  • Carr MR, Thapar M, King BR. Atrial septal defect, general concepts. http://www.emedicine.com/ped/topic171.htm.

  • Castorina S, Mignosa C, Degno S, et al. Demonstration of an anomalous connection between the left coronary artery and the pulmonary artery using a multislice CT 64. Clin Anat. 2008;21(4):319–24.

    Article  CAS  PubMed  Google Scholar 

  • Crean A. Cardiovascular MR and CT in congenital heart disease. Heart 2007;93(12):1637–1647 (Review).

    Google Scholar 

  • Dodd JD, Ferencik M, Liberthson RR, et al. Congenital anomalies of coronary artery origin in adults: 64-MDCT appearance. AJR Am J Roentgenol. 2007;188(2):W138–46. (Review).

    Article  PubMed  Google Scholar 

  • El-Menyar AA, Das KM, Al-Suwaidi J. Anomalous origin of the three coronary arteries from the right aortic sinus Valsalva: role of MDCT coronary angiography. Int J Cardiovasc Imaging. 2006;22(5):723–9.

    Article  PubMed  Google Scholar 

  • Gufler H, Voigtlander T, Nowak B, et al. Left circumflex coronary artery fistula to the superior vena cava: assessment of the exact anatomy by multidetector CT. Clin Res Cardiol. 2008;97(4):272–6.

    Article  PubMed  Google Scholar 

  • Hegde AN, Desai SB. Two cases of anomalous origins of left coronary artery with a course between the aortic root and the free standing subpulmonary infundibulum on CT coronary angiography. Interact Cardiovasc Thorac Surg. 2005;4(4):297–8.

    Article  PubMed  Google Scholar 

  • Hussain F, Sculte PA. Multimodality imaging of an inter-arterial anomalous left main. Int J Cardiol. 2008;127(3):e134–5.

    Article  PubMed  Google Scholar 

  • Kacmaz F, Ozbulbul NI, Alyan O, et al. Imaging of coronary artery anomalies: the role of multidetector computed tomography. Coron Artery Dis. 2008;19(3):203–9.

    Article  PubMed  Google Scholar 

  • Kadiyala M, Beasley HS, Dua A. A rare case of anomalous left anterior descending artery with a large interarterial communication: an invasive and CT angiographic study. J Invasive Cardiol. 2007;19(3):E69–72.

    PubMed  Google Scholar 

  • Karaca M, Kirilmaz A, Oncel G, et al. Contrast-enhanced 64-slice computed tomography in detection and evaluation of anomalous coronary arteries. Tohoku J Exp Med. 2007;213(3):249–59.

    Article  PubMed  Google Scholar 

  • Khositseth A, Siripornpitak S, Pornkul R, et al. Case report: Giant coronary aneurysm caused by Kawasaki disease: follow-up with echocardiography and multidetector CT angiography. Br J Radiol. 2008;81(964):e106–9.

    Article  CAS  PubMed  Google Scholar 

  • Kim SY, Seo JB, Do KH, et al. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics. 2006;26(2):317–33; discussion 333–334 (Review).

    Article  PubMed  Google Scholar 

  • Kim YJ, Hur J, Choe KO, et al. Interatrial shunt detected in coronary computed tomography angiography: differential features of a patent foramen ovale and an atrial septal defect. J Comput Assist Tomogr. 2008;32(5):663–7.

    Article  PubMed  Google Scholar 

  • Ko SM, Choi JS, Nam CW, et al. Incidence and clinical significance of myocardial bridging with ECG-gated 16-row MDCT coronary angiography. Int J Cardiovasc Imaging. 2008;24(4):445–52.

    Article  PubMed  Google Scholar 

  • Kristensen T, Kofoed KF, Helqvist S, et al. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) presenting with ventricular fibrillation in an adult: a case report. J Cardiothorac Surg. 2008;3:33.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kuo KH, Tiu CM. Coronary CT angiography with reformatting demonstrates a sinus of Valsalva aneurysm. Pediatr Radiol. 2008;38(11):1262.

    Article  PubMed  Google Scholar 

  • Lerner CB, Frush DP, Boll DT. Evaluation of a coronary-cameral fistula: benefits of coronary dual-source MDCT angiography in children. Pediatr Radiol. 2008;38(8):874–8.

    Article  PubMed  Google Scholar 

  • Leschka S, Koepfli P, Husmann L, et al. Myocardial bridging: depiction rate and morphology at CT coronary angiography—comparison with conventional coronary angiography. Radiology. 2008;246(3):754–62.

    Article  PubMed  Google Scholar 

  • Liu CY, Juan CW, Pai YL, et al. Congenital left circumflex coronary artery atresia detected by 64-slice computed tomography: a case report. Kaohsiung J Med Sci. 2007;23(6):313–7.

    Article  PubMed  Google Scholar 

  • Love BA, Portman MA. Atrial septal defect, patent foramen ovale. http://www.emedicine.com/ped/topic2494.htm.

  • Ou P, Iserin F, Vouhe P, et al. Anomalous origin of the left coronary artery from the right aortic sinus: surgery based on diagnosis by 64-slice CT. Eur J Cardiothorac Surg. 2006;29(4):610.

    Article  PubMed  Google Scholar 

  • Qamar UR, Khan MU, Umair S, et al. CT angiography images of an anomalous right coronary artery. Int J Cardiol. 2009;132:49–50.

    Article  Google Scholar 

  • Richard A, Godart F, Brevière GM, et al. Abnormal origin of the left coronary artery from the pulmonary artery: a retrospective study of 36 cases. Arch Mal Coeur Vaiss. 2007;100(5):433–8.

    CAS  PubMed  Google Scholar 

  • Romaguera R, Paya R, Ridocci F, et al. Ventricular septal defect as casual finding in non-invasive CT-angiography. Eur Heart J. 2008;29(11):1438.

    Article  PubMed  Google Scholar 

  • Rommel M, Griffin R, Harrison EE. Coronary anomalies: cardiac CT evaluation of the symptomatic adult athlete. Curr Sports Med Rep. 2007;6(2):85–92. (Review).

    PubMed  Google Scholar 

  • Saremi F, Channual S, Raney A, et al. Imaging of patent foramen ovale with 64-section multidetector CT. Radiology. 2008;249(2):483–92. Epub 2008 Sep 9.

    Article  PubMed  Google Scholar 

  • Shiga Y, Tsuchiya Y, Yahiro E, et al. Left main coronary trunk connecting into right atrium with an aneurysmal coronary artery fistula. Int J Cardiol. 2008;123(2):e28–30.

    Article  PubMed  Google Scholar 

  • Singh Nijjar P, Parameswaran A, Amanullah AM. Evaluation of anomalous aortic origins of the coronaries by 64-slice cardiac computed tomography. Rev Cardiovasc Med. 2007;8(3):175–81.

    Article  PubMed  Google Scholar 

  • Srinivasan KG, Gaikwad A, Kannan BR, et al. Congenital coronary artery anomalies: diagnosis with 64 slice multidetector row computed tomography coronary angiography: a single-centre study. J Med Imaging Radiat Oncol. 2008;52(2):148–54.

    Article  CAS  PubMed  Google Scholar 

  • Utsunomiya D, Nakao K, Yamashita Y. Single coronary artery with spasm. Radiat Med. 2008;26(5):309–12.

    Article  PubMed  Google Scholar 

  • Utsunomiya D, Nishiharu T, Urata J, et al. Coronary arterial malformation depicted at multi-slice CT angiography. Int J Cardiovasc Imaging. 2006;22(3–4):547–51.

    Article  PubMed  Google Scholar 

  • Waite S, Ng T, Afari A, et al. CT diagnosis of isolated anomalous origin of the RCA arising from the main pulmonary artery. J Thorac Imaging. 2008;23(2):145–7.

    Article  PubMed  Google Scholar 

  • Weinstein S, Michler RE. Atrial septal defect, unroofed coronary sinus: surgical perspective. http://www.emedicine.com/ped/topic2815.htm.

  • Welker M, Salanitri J, Deshpande VS, et al. Coronary artery anomalies diagnosed by magnetic resonance angiography. Australas Radiol. 2006;50(2):114–21. (Review).

    Article  CAS  PubMed  Google Scholar 

  • Williamson EE, Kirsch J, Araoz PA, et al. ECG-gated cardiac CT angiography using 64-MDCT for detection of patent foramen ovale. AJR Am J Roentgenol. 2008;190(4):929–33.

    Article  PubMed  Google Scholar 

  • Zeina AR, Blinder J, Sharif D, et al. Congenital coronary artery anomalies in adults: non-invasive assessment with multidetector CT. Br J Radiol. 2009;82:254–61.

    Article  CAS  PubMed  Google Scholar 

  • Zeina AR, Odeh M, Blinder J, et al. Myocardial bridge: evaluation on MDCT. AJR Am J Roentgenol. 2007;188(4):1069–73.

    Article  PubMed  Google Scholar 

  • Zhang LJ, Lu GM, Guo H, et al. Myocardial bridging on dual-source CT: comparison with conventional coronary angiography. Zhonghua Yi Xue Za Zhi. 2008;88(12):826–9. Chinese.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Holy Cross Hospital, South Florida Medical Imaging Cardiovascular Institute, Fort Lauderdale, FL, USA

    Claudio Smuclovisky MD, FACC, FSCCT

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  1. Claudio Smuclovisky MD, FACC, FSCCT
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Correspondence to Claudio Smuclovisky MD, FACC, FSCCT .

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Editors and Affiliations

  1. Department of Radiology, Holy Cross Hospital, South Florida Medical Imaging Cardiovascular Institute, Fort Lauderdale, Florida, USA

    Claudio Smuclovisky

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Smuclovisky, C. (2018). Cardiac CTA of Congenital Coronary and Other Anomalies. In: Smuclovisky, C. (eds) Coronary Artery CTA. Springer, Cham. https://doi.org/10.1007/978-3-319-66988-5_5

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  • DOI: https://doi.org/10.1007/978-3-319-66988-5_5

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-66988-5

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