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CardioVascular and Interventional Radiology

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01-04-2010 | Case Report

Unusual Malignant Coronary Artery Anomaly: Results of Coronary Angiography, MR Imaging, and Multislice CT

Authors: Jonas Apitzsch, Harald P. Kühl, Georg Mühlenbruch, Andreas H. Mahnken

Published in: CardioVascular and Interventional Radiology | Issue 2/2010

Abstract

We report the case of a man with an uncommon anomaly of the origin and course of the left coronary artery. Clinical, coronary angiography, magnetic resonance imaging, and multislice computed tomography findings of this intermittently symptomatic 49 year-old patient with the rare anomaly of his left coronary artery stemming from the right sinus of Valsalva and taking an interarterial and intraseptal course are presented. The diagnostic value of the different imaging modalities is discussed.

Shrestha BMS, Hamilton-Craig C, Platts D, Clarke D (2009) Spontaneous coronary artery rupture in a young patient: a rare diagnosis for cardiac tamponade. Interact Cardiovasc Thorac Surg (in press)

Habis M, Capderou A, Sigal-Cinqualbre A, Ghostine S, Rahal S, Riou JY, Brenot P, Angel CY, Paul JF (2009) Comparison of delayed enhancement patterns on multislice computed tomography immediately after coronary angiography and cardiac magnetic resonance imaging in acute myocardial infarction. Heart 95:624–629CrossRefPubMed

Dirksen M, Bax J, Bloom N, Schalij N, Jukema W, Vliegen H, Van der Wall E, de Roos A, Lamb H (2002) Detection of malignant right coronary artery anomaly by multi-slice coronary angiography. Eur Radiol 12:S177–S180PubMed

Kimbiris D, Iskandrian A, Segal B, Bemis C (1978) Anomalous aortic origin of coronary arteries. Circulation 58:606–615PubMed

Click R, Holmes D Jr, Vlietstra R, Kosinski A, Kronmal R (1989) Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival: a report from the Coronary Artery Surgery Study. J Am Coll Cardiol 13:531–537PubMedCrossRef

Chaitman B, Lesperance J, Saltiel J, Bourassa M (1976) Clinical, angiographic, and hemodynamic findings in patients with anomalous origin of the coronary arteries. Circulation 53:122–131PubMed

Yamanaka O, Hobbs R (1990) Coronary artery anomalies in 126, 595 patients undergoing coronary arteriography. Catheter Cardiovasc Diagn 21:28–40CrossRef

Post J, van Rossum A, Bronzwaer J (1995) Magnetic resonance angiography of anomalous coronary arteries. A new gold standard for delineating the proximal course? Circulation 92:3163–3171PubMed

Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339:364–369CrossRefPubMed

10.

Virmani R, Burke A, Farb A (2000) The pathology of sudden cardiac deaths in athletes. Lippincott Williams & Wilkins, Philadelphia

11.

Schmitt R, Froehner S, Brunn J, Wagner M, Brunner H, Cherevatyy O, Gietzen F, Christopoulos G, Kerber S, Fellner F (2005) Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multidetector computed tomography. Eur Radiol 15:1110–1121CrossRefPubMed

12.

Schuijf J, Bax J, Shaw L, de Roos A, Lamb H, van der Wall E, Wejns W (2006) Meta-analysis of comparative diagnostic performance of magnetic resonance imaging and multislice computed tomography for noninvasive coronary angiography. Am Heart J 151:404–411CrossRefPubMed

13.

Koos R, Mahnken AH, Sinha AM, Wildberger JE, Hoffmann R (2003) ECG-gated multislice spiral computed tomography to clarify lesion severity in a case of left main stenosis. Multislice spiral computed tomography to clarify lesion severity. Int J Cardiovasc Imaging 19(4):349–353CrossRefPubMed

14.

Fallenberg E, Juergens K, Wichter T, Scheld H, Fischbach R (2002) Coronary artery aneurysm and type A-aortic dissection demonstrated by retrospectively ECG-gated multislice spiral CT. Eur Radiol 12:201–204CrossRefPubMed

15.

Horisaki T, Yamashita T, Yokoyama H, Urasawa K, Kitabatake A (2003) Three-dimensional reconstruction of computed tomographic images of anomalous origin of the left main coronary artery from the pulmonary trunk in an adult. Am J Cardiol 92:898–899CrossRefPubMed

16.

Van Ooijen P, Dorgelo J, Zijlstra F, Oudkerk M (2004) Detection, visualization and evaluation of anomalous coronary anatomy on 16-slice multidetector-row CT. Eur Radiol 14:2163–2171CrossRefPubMed

17.

Gersin E, Litmanovich D, Ofer A, Lessick J, Dragu R, Rispler S, Beyar R, Engel A (2004) Anomalous origin of right coronary artery. diagnosis and dynamic evaluation with multidetector computed tomography. J Comput Assist Tomogr 28:293–294CrossRef

18.

Duran C, Cantarci M, Subasi I, Gulbaran M, Sevimli S, Bayram E, Eren S, Karaman A, Fil F, Okur A (2006) Remarkable anatomic anomalies of coronary arteries and their clinical importance: a multidetector computed tomography angiographic study. J Comput Assist Tomogr 30:939–948CrossRefPubMed

19.

Angelini P, Velasco J, Flamm S (2002) Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 105:2449–2454CrossRefPubMed

20.

Engel H, Torres C, Page H (1975) Major variations in anatomical origin of the coronary arteries: angiographic observations in 4,250 patients without associated congenital heart disease. Cathet Cardiovasc Diagn 1:157–169CrossRefPubMed

21.

Liberthson R, Dinsmore R, Fallon J (1979) Aberrant coronary artery origin from the aorta. Report of 18 patients, review of literature and delineation of natural history and management. Circulation 59:748–754PubMed

Title: Unusual Malignant Coronary Artery Anomaly: Results of Coronary Angiography, MR Imaging, and Multislice CT
Authors: Jonas Apitzsch
Harald P. Kühl
Georg Mühlenbruch
Andreas H. Mahnken
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 2/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-009-9663-y

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Unusual Malignant Coronary Artery Anomaly: Results of Coronary Angiography, MR Imaging, and Multislice CT

Abstract

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Abstract

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