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Coronary Artery Anomalies

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Cardiac CT and MR for Adult Congenital Heart Disease

Abstract

Isolated congenital coronary artery anomalies have been reported in approximately 1.3 % (range 0.2–5.6 %) of patients undergoing x-ray coronary angiography (Yamanaka and Hobbs, Cathet Cardiovasc Diagn 21:28–40, 1990; Click et al. J Am Coll Cardiol 13:531–537, 1989; Baltaxe and Wixson, Radiology 122:47–52, 1977; Engel et al., Cathet Cardiovasc Diagn 1:157–169, 1975) and approximately 0.3 % of patients at autopsy (Alexander and Griffith, Circulation 14:800–805, 1956). About 80 % of coronary anomalies are considered benign without significant clinical sequelae, with the remaining 20 % potentially responsible for significant symptoms such as myocardial ischemia and sudden death (Yamanaka and Hobbs, Cathet Cardiovasc Diagn 21:28–40, 1990). The ability to identify coronary artery anomalies and define their anatomic course is important to further evaluate patients in whom a coronary anomaly is suspected. Noninvasive imaging has been the preferred way to evaluate patients with a suspected coronary artery anomaly, and it is important for physicians to recognize and understand the clinical and imaging features of the most commonly encountered coronary artery anomalies.

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Acknowledgment

We gratefully acknowledge Martha Helmers for her hard work with the preparation of the images and figures for this chapter.

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Authors and Affiliations

  1. Department of Medicine, Medstar Georgetown University Hospital, 3800 Reservoir Rd NW, 5PHC, Washington, DC, 20007, USA

    Monvadi B. Srichai MD, FAHA, FACC

  2. Department of Radiology, NYU School of Medicine, 550 First Avenue, New York, NY, 10016, USA

    Derek Mason MD

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  1. Monvadi B. Srichai MD, FAHA, FACC
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  2. Derek Mason MD
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Corresponding author

Correspondence to Monvadi B. Srichai MD, FAHA, FACC .

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Editors and Affiliations

  1. Department of Radiology, USC University Hospital Keck School of Medicine, Los Angeles, California, USA

    Farhood Saremi

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Srichai, M.B., Mason, D. (2014). Coronary Artery Anomalies. In: Saremi, F. (eds) Cardiac CT and MR for Adult Congenital Heart Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8875-0_27

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  • DOI: https://doi.org/10.1007/978-1-4614-8875-0_27

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