scholarly journals Congenital Absence of Left Circumflex Artery Detected by Computed Tomography Coronary Angiography: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Keerati Hongsakul ◽  
Ruedeekorn Suwannanon
Keyword(s):  
Computed Tomography ◽  
Congenital Anomaly ◽  
Coronary Angiography ◽  
Computed Tomography Coronary Angiography ◽  
Congenital Absence ◽  
Coronary Anomalies ◽  
Circumflex Artery ◽  
Atypical Chest Pain ◽  
Rare Congenital Anomaly ◽  
Left Circumflex Artery

The congenital absence of the left circumflex artery (LCx) is a very rare congenital anomaly of coronary arteries, but it is benign. Currently, the best modality for the diagnosis of coronary anomalies is computed tomography coronary angiography (CTCA). We report a case of congenitally absent LCx with an atypical chest pain.

scholarly journals Solitary coronary artery: An unusual cause of atypical chest pain

2019 ◽  
Vol 16 (1) ◽  
pp. 55-56
Author(s):  
Laxman Dubey ◽  
Ridhi Adhikari ◽  
Suresh Deep
Keyword(s):  
Computed Tomography ◽  
Congenital Anomaly ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Sinus ◽  
Sinus Of Valsalva ◽  
Atypical Chest Pain ◽  
Rare Congenital Anomaly ◽  
The Right

Coronary arteries arising from single coronary sinus is a rare congenital anomaly. We report a 30-year-old male who presented with atypical chest pain and computed tomography coronary angiography revealed a solitary coronary artery originating from a single ostium in the right sinus of Valsalva. 

scholarly journals A Rare Coincidence of Two Coronary Anomalies in an Adult

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Cesar Cruz ◽  
Dalton Mclean ◽  
Matthew Janik ◽  
Paolo Raggi ◽  
A. Maziar Zafari
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Coronary Arteries ◽  
Coronary Anomalies ◽  
Left Main ◽  
Atypical Chest Pain ◽  
Selective Coronary Angiography ◽  
Type Iv

Anomalous right-sided left main coronary arteries and dual type IV left anterior descending arteries are rare coronary anomalies. In this case report, we present a 59 year old man with atypical chest pain and a combination of the above coronary anomalies as identified by selective coronary angiography and computed tomography angiography. To the best of our knowledge, the coincidence of these coronary anomalies has not been previously described.

scholarly journals Computed tomography coronary angiography is the way forward for evaluation of children with Kawasaki disease

2018 ◽  
Vol 2017 (3) ◽  
Author(s):  
Manphool Singhal ◽  
Pankaj Gupta ◽  
Surjit Singh ◽  
Niranjan Khandelwal
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Kawasaki Disease ◽  
Coronary Angiography ◽  
Radiation Exposure ◽  
Invasive Coronary Angiography ◽  
Computed Tomography Coronary Angiography ◽  
Effective Radiation Dose ◽  
Coronary Artery Abnormalities ◽  
Left Circumflex Artery

Kawasaki disease (KD) is an acute idiopathic vasculitis affecting infants and children. Coronary artery abnormalities and myocarditis are the major cardiovascular complications of KD. Coronary artery abnormalities develop in 15–25% of untreated KD. Two-dimensional transthoracic echocardiography has hitherto been considered the modality of choice for evaluation of children with KD. There are, however, several limitations inherent to echocardiography - including limited evaluation of distal vessels, left circumflex artery and poor acoustic window in growing children. Catheter angiography is the gold standard for evaluation of coronary artery abnormalities in older children and adults; however it also has inherent limitations - including complications related to its invasive nature, higher radiation exposure, and inability to evaluate intramural abnormalities. Thus serial invasive coronary angiography studies are not feasible in children. There have been major advances in computed tomography (CT) coronary imaging so that it is now possible to delineate the coronary artery anatomy with higher temporal resolution and motion-free images at all heart rates with acceptable radiation exposure. There is, however, a paucity of literature with regard to the use of this technique in children with KD. In this review, we discuss the application of computed tomography coronary angiography (CTCA) in children with KD with special reference to strategies aimed at reducing the effective radiation dose. 

scholarly journals The Role of Computed Tomography Coronary Angiography in the Management of Coronary Anomalies

2012 ◽  
Vol 28 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Silvia Tresoldi ◽  
Miriam Mezzanzanica ◽  
Alessandro Campari ◽  
Diego Salerno Uriarte ◽  
Gianpaolo Cornalba
Keyword(s):  
Computed Tomography ◽  
Coronary Angiography ◽  
Computed Tomography Coronary Angiography ◽  
Coronary Anomalies

scholarly journals The prevalence of coronary artery anomalies in adults: Studied with computed tomography coronary angiography

2018 ◽  
Vol 75 (1) ◽  
pp. 16-22
Author(s):  
Dragana Ilic ◽  
Dragan Stojanov ◽  
Goran Koracevic ◽  
Sladjana Petrovic ◽  
Zoran Radovanovic ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Coronary Sinus ◽  
Coronary Anomalies ◽  
Coronary Artery Anomalies ◽  
Therapeutic Treatment ◽  
Circumflex Artery ◽  
Left Circumflex Artery

Background/Aim. Coronary artery anomalies are an uncommon but important cause of chest pain, and in some cases of hemodynamically significant abnormalities, sudden cardiac death. The aim of the research was to establish the prevalence of the coronary arteries anomalies in our population. Methods. The study group included 1,562 patients (810 men, 752 women, average age 64.3 ? 12.0 years; range 32?80 years) who were scheduled for 64-slice computed tomography (MSCT), which enables detailed visualization of coronary arteries and heart anatomy. All examinations were made due to suspicion (atypical chest pain, angina equivalent symptoms or multiple risk factors for cardiovascular disease) or assumption of progression of coronary artery disease. Results. From January 2010 till December 2014 a total number of 1,562 patients were sent for evaluation of coronary arteries. The coronary anomalies were found in 45 (2.88%) patients. The most frequent coronary anomaly seen in our population group was absence of left main trunk with the separate origin of the left anterior descending artery (LAD) and left circumflex artery (LCx) originating from a left coronary sinus (LCS). This was found in 12 patients (an incidence of 0.77% or 26.7% of all coronary anomalies). Anomalous location of coronary ostium outside normal aortic sinuses in our study was present as right coronary artery (RCA) that arises from left anterior sinus in 5 (0.32%) patients and left coronary artery from non-coronary sinus in two (0.13%) patients. Conclusion. Knowledge of anomalies of the coronary arteries and their recognition on the multislice computed tomography is of great importance for the further planning of a possible therapeutic treatment. Coronary anomalies that are considered insignificant will require no further therapeutic treatment. But the detection of malignant coronary anomalies will certainly save many lives.

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