Multidetector computed tomography imaging of coronary artery anomalies
The purpose of the study was to determine the prevalence of coronary artery anomalies and to demonstrate in which cases multidetector computed tomography has an additional clinical value compared with the conventional angiography. A total of 2375 multidetector computed tomography studies were retros...
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| Veröffentlicht in: | Cardiology in the young 2013-10, Vol.23 (5), p.661-674 |
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| creator | Türkvatan, Aysel Güray, Yeşim Altınsoy, Dilek |
| description | The purpose of the study was to determine the prevalence of coronary artery anomalies and to demonstrate in which cases multidetector computed tomography has an additional clinical value compared with the conventional angiography.
A total of 2375 multidetector computed tomography studies were retrospectively reviewed to determine the dominance of the coronary artery anomalies. The classification of coronary artery anomalies was made according to anatomical criteria--origin, course, intrinsic anatomy, and termination--and clinical relevance--benign versus malignant.
The coronary artery system was right dominant in 83.99%, left dominant in 8.0%, and co-dominant in 9.01% of the cases. The incidence of the origin and/or course anomalies was 1.76%, that of fistulas was 0.42%, and that of myocardial bridges was 10.82%. Multidetector computed tomography was performed after conventional angiography in 23 cases and it provided additional information regarding its origin and proximal course, as well as its relationship with the aortic root and main pulmonary trunk in 100% of the cases; eight malignant cases were found. In addition, in all of (100%) the six cases with coronary artery fistulas, conventional angiography failed to detect their terminations, which were clearly depicted by multidetector computed tomography.
Multidetector computed tomographic angiography is superior to conventional angiography in delineating the ostial origin and proximal course of anomalous coronary arteries. Furthermore, it reveals the exact relationship of anomalous coronary arteries with the aorta and the pulmonary artery. Anomalies of the intrinsic anatomy and the termination of coronary arteries are also better visualised with multidetector computed tomography. |
| doi_str_mv | 10.1017/S1047951112001758 |
| format | Article |
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A total of 2375 multidetector computed tomography studies were retrospectively reviewed to determine the dominance of the coronary artery anomalies. The classification of coronary artery anomalies was made according to anatomical criteria--origin, course, intrinsic anatomy, and termination--and clinical relevance--benign versus malignant.
The coronary artery system was right dominant in 83.99%, left dominant in 8.0%, and co-dominant in 9.01% of the cases. The incidence of the origin and/or course anomalies was 1.76%, that of fistulas was 0.42%, and that of myocardial bridges was 10.82%. Multidetector computed tomography was performed after conventional angiography in 23 cases and it provided additional information regarding its origin and proximal course, as well as its relationship with the aortic root and main pulmonary trunk in 100% of the cases; eight malignant cases were found. In addition, in all of (100%) the six cases with coronary artery fistulas, conventional angiography failed to detect their terminations, which were clearly depicted by multidetector computed tomography.
Multidetector computed tomographic angiography is superior to conventional angiography in delineating the ostial origin and proximal course of anomalous coronary arteries. Furthermore, it reveals the exact relationship of anomalous coronary arteries with the aorta and the pulmonary artery. Anomalies of the intrinsic anatomy and the termination of coronary arteries are also better visualised with multidetector computed tomography.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951112001758</identifier><identifier>PMID: 23083703</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arterio-Arterial Fistula - diagnostic imaging ; Arterio-Arterial Fistula - epidemiology ; Coronary Angiography ; Coronary Vessel Anomalies - diagnostic imaging ; Coronary Vessel Anomalies - epidemiology ; Female ; Humans ; Male ; Middle Aged ; Multidetector Computed Tomography ; Myocardial Bridging - diagnostic imaging ; Myocardial Bridging - epidemiology ; Original Articles ; Prevalence ; Retrospective Studies ; Young Adult</subject><ispartof>Cardiology in the young, 2013-10, Vol.23 (5), p.661-674</ispartof><rights>Copyright © Cambridge University Press 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-74b912d98d8abb73753806e51fe18d2c4505e2fc1e8de624d5e37474214b64fd3</citedby><cites>FETCH-LOGICAL-c373t-74b912d98d8abb73753806e51fe18d2c4505e2fc1e8de624d5e37474214b64fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1047951112001758/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23083703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Türkvatan, Aysel</creatorcontrib><creatorcontrib>Güray, Yeşim</creatorcontrib><creatorcontrib>Altınsoy, Dilek</creatorcontrib><title>Multidetector computed tomography imaging of coronary artery anomalies</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>The purpose of the study was to determine the prevalence of coronary artery anomalies and to demonstrate in which cases multidetector computed tomography has an additional clinical value compared with the conventional angiography.
A total of 2375 multidetector computed tomography studies were retrospectively reviewed to determine the dominance of the coronary artery anomalies. The classification of coronary artery anomalies was made according to anatomical criteria--origin, course, intrinsic anatomy, and termination--and clinical relevance--benign versus malignant.
The coronary artery system was right dominant in 83.99%, left dominant in 8.0%, and co-dominant in 9.01% of the cases. The incidence of the origin and/or course anomalies was 1.76%, that of fistulas was 0.42%, and that of myocardial bridges was 10.82%. Multidetector computed tomography was performed after conventional angiography in 23 cases and it provided additional information regarding its origin and proximal course, as well as its relationship with the aortic root and main pulmonary trunk in 100% of the cases; eight malignant cases were found. In addition, in all of (100%) the six cases with coronary artery fistulas, conventional angiography failed to detect their terminations, which were clearly depicted by multidetector computed tomography.
Multidetector computed tomographic angiography is superior to conventional angiography in delineating the ostial origin and proximal course of anomalous coronary arteries. Furthermore, it reveals the exact relationship of anomalous coronary arteries with the aorta and the pulmonary artery. Anomalies of the intrinsic anatomy and the termination of coronary arteries are also better visualised with multidetector computed tomography.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arterio-Arterial Fistula - diagnostic imaging</subject><subject>Arterio-Arterial Fistula - epidemiology</subject><subject>Coronary Angiography</subject><subject>Coronary Vessel Anomalies - diagnostic imaging</subject><subject>Coronary Vessel Anomalies - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Myocardial Bridging - diagnostic imaging</subject><subject>Myocardial Bridging - epidemiology</subject><subject>Original Articles</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Young Adult</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kD9PwzAQxS0EoqXwAVhQJBaWgM9_amdEFQWkIgZgjpz4UlIlcbGTod8eVy0IgZjuTu937-xHyDnQa6Cgbl6ACpVJAGA0zlIfkDGIqUoBqDqMfZTTrT4iJyGsIsM50GMyYpxqrigfk_nT0PS1xR7L3vmkdO166NEmvWvd0pv1-yapW7Osu2Xiqih71xm_SYzvcVs615qmxnBKjirTBDzb1wl5m9-9zh7SxfP94-x2kZZc8T5VosiA2UxbbYpCcSW5plOUUCFoy0ohqURWlYDa4pQJK5EroQQDUUxFZfmEXO181959DBj6vK1DiU1jOnRDyEGwjEH0lBG9_IWu3OC7-LotpbUQUmWRgh1VeheCxypf-_hhv8mB5tuQ8z8hx52LvfNQtGi_N75SjQDfm5q28LVd4o_b_9p-Am4dhV4</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Türkvatan, Aysel</creator><creator>Güray, Yeşim</creator><creator>Altınsoy, Dilek</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Multidetector computed tomography imaging of coronary artery anomalies</title><author>Türkvatan, Aysel ; Güray, Yeşim ; Altınsoy, Dilek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-74b912d98d8abb73753806e51fe18d2c4505e2fc1e8de624d5e37474214b64fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arterio-Arterial Fistula - diagnostic imaging</topic><topic>Arterio-Arterial Fistula - epidemiology</topic><topic>Coronary Angiography</topic><topic>Coronary Vessel Anomalies - diagnostic imaging</topic><topic>Coronary Vessel Anomalies - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Myocardial Bridging - diagnostic imaging</topic><topic>Myocardial Bridging - epidemiology</topic><topic>Original Articles</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Türkvatan, Aysel</creatorcontrib><creatorcontrib>Güray, Yeşim</creatorcontrib><creatorcontrib>Altınsoy, Dilek</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiology in the young</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Türkvatan, Aysel</au><au>Güray, Yeşim</au><au>Altınsoy, Dilek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multidetector computed tomography imaging of coronary artery anomalies</atitle><jtitle>Cardiology in the young</jtitle><addtitle>Cardiol Young</addtitle><date>2013-10</date><risdate>2013</risdate><volume>23</volume><issue>5</issue><spage>661</spage><epage>674</epage><pages>661-674</pages><issn>1047-9511</issn><eissn>1467-1107</eissn><abstract>The purpose of the study was to determine the prevalence of coronary artery anomalies and to demonstrate in which cases multidetector computed tomography has an additional clinical value compared with the conventional angiography.
A total of 2375 multidetector computed tomography studies were retrospectively reviewed to determine the dominance of the coronary artery anomalies. The classification of coronary artery anomalies was made according to anatomical criteria--origin, course, intrinsic anatomy, and termination--and clinical relevance--benign versus malignant.
The coronary artery system was right dominant in 83.99%, left dominant in 8.0%, and co-dominant in 9.01% of the cases. The incidence of the origin and/or course anomalies was 1.76%, that of fistulas was 0.42%, and that of myocardial bridges was 10.82%. Multidetector computed tomography was performed after conventional angiography in 23 cases and it provided additional information regarding its origin and proximal course, as well as its relationship with the aortic root and main pulmonary trunk in 100% of the cases; eight malignant cases were found. In addition, in all of (100%) the six cases with coronary artery fistulas, conventional angiography failed to detect their terminations, which were clearly depicted by multidetector computed tomography.
Multidetector computed tomographic angiography is superior to conventional angiography in delineating the ostial origin and proximal course of anomalous coronary arteries. Furthermore, it reveals the exact relationship of anomalous coronary arteries with the aorta and the pulmonary artery. Anomalies of the intrinsic anatomy and the termination of coronary arteries are also better visualised with multidetector computed tomography.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23083703</pmid><doi>10.1017/S1047951112001758</doi><tpages>14</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Arterio-Arterial Fistula - diagnostic imaging Arterio-Arterial Fistula - epidemiology Coronary Angiography Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - epidemiology Female Humans Male Middle Aged Multidetector Computed Tomography Myocardial Bridging - diagnostic imaging Myocardial Bridging - epidemiology Original Articles Prevalence Retrospective Studies Young Adult |
| title | Multidetector computed tomography imaging of coronary artery anomalies |
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