Prevalence of congenital coronary artery anomalies and variants in 726 consecutive patients based on 64-slice coronary computed tomography angiography

• Autorzy: Szymczyk K. , Polguj M. , Szymczyk E. , Majos A. , Grzelak P. , Stefanczyk L.
• Języki publikacji: EN

Abstrakty

EN

Background: Coronary computed tomography angiography (CCTA) is helpful in making a precise noninvasive evaluation of coronary anatomy, allowing concomitant evaluation of other cardiac structures. The aim of this study was to determine the prevalence of coronary artery variations detected by 64-slice mutidetector CT. Materials and methods: The results of ECG-gated CCTA in 726 consecutive patients (mean age 58 years) were analysed retrospectively. The main indications for CCTA were atypical chest pain, angina pectoris, screening for coronary artery disease and determination of the patency of bypass grafts or stents. Acquisition was performed with a 64-detector CT scanner with retrospective ECG gating. Imaging results were assessed by experienced cardiovascular radiologist. Results: The overall incidence of coronary artery anomalies was 1.1% (8 out of 726 participants). The most common anomaly was an anomalous origin of the circumflex artery from the right coronary sinus with a retroaortic course (4 patients, 0.6%), followed by origin of right coronary artery from the left coronary sinus (2 patients, 0.3%). One patient with abnormal origin of the left main artery from the right coronary sinus (0.1%) and 1 patient with a circumflex artery origin from the proximal segment of the right coronary artery (0.1%) were observed, both with retroartic course. Conclusions: CCTA is a noninvasive imaging technique useful for the precise evaluation of variations of the coronary arteries. This study shows similar results to other reports on this subject. (Folia Morphol 2014; 73, 1: 51–57)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2014
• Tom: 73
• Numer: 1
• Opis fizyczny: p.51-57,fig.,ref.

Twórcy

autor

Szymczyk K.

• Department of Radiology, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland

autor

Polguj M.

• Chair of Anatomy, Department of Angiology, Medical University of Lodz, Lodz, Poland

autor

Szymczyk E.

• Department of Cardiology, Medical University of Lodz, Lodz, Poland

autor

Majos A.

• Department of Radiology, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland

autor

Grzelak P.

• Department of Radiology, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland

autor

Stefanczyk L.

• Department of Radiology, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland

Bibliografia

• 1. Alegria JR, Herrmann J, Holmes DRJ, Lerman A, Charanjit S (2005) Myocardial Bridging. Eur Heart J, 26: 1159–1168.
• 2. Angelini P (2007) Coronary artery anomalies: an entity in search of an identity. Circulation, 115: 1296–1305.
• 3. Basso C, Maron BJ, Corrado D, Thiene G (2000) Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol, 35: 1493–1501.
• 4. Cademartiri F, La Grutta L, Malagò R, Alberghina F, Meijboom WB, Pugliese F, Maffei E, Palumbo AA, Aldrovandi A, Fusaro M, Brambilla V, Coruzzi P, Midiri M, Mollet NR, Krestin GP (2008) Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. Eur Radiol, 18: 781–791.
• 5. de Jonge GJ, van Ooijen PM, Piers LH, Dikkers R, Tio RA, Willems TP, van den Heuvel AF, Zijlstra F, Oudkerk M (2008) Visualization of anomalous coronary arteries on dual-source computed tomography. Eur Radiol, 18: 2425–2432.
• 6. Erol C, Seker M (2011) Coronary artery anomalies: the prevalence of origination, course, and termination anomalies of coronary arteries detected by 64-detector computed tomography coronary angiography. J Comput Assist Tomogr, 35: 618–624.
• 7. Galas A, Hryniewiecki T, Kępka C, Michałowska I, Abramczuk E, Orłowska Baranowska E, Demkow M, Rużyłło W (2012) May dual-source computed tomography angiography replace invasive coronary angiography in the evaluation of patients referred for valvular disease surgery? Kardiol Pol, 70: 877–882.
• 8. Gawlikowska-Sroka A, Miklaszewska D, Czerwiński F (2010) Analysis of the influence of hesart size and gender on coronary circulation type. Folia Morphol, 69: 35–41.
• 9. Hill SF, Sheppard MN (2010) Non-atherosclerotic coronary artery disease associated with sudden cardiac death. Heart, 96: 1119–1125.
• 10. Jacobs JE (2010) Computed tomographic evaluation of the normal cardiac anatomy. Radiol Clin North Am, 48: 701–710.
• 11. Jappar IA, Chua T, Htoo MM, Cheah FK, Allen JC, Tan SY (2012) Diagnosis of anomalous origin and course of coronary arteries using non-contrast cardiac CT scan and detection features. J Cardiovasc Comput Tomogr, 6: 335–345.
• 12. Kim SY, Seo JB, Do KH, Heo JN, Lee JS, Song JW, Choe YH, Kim TH, Yong HS, Choi SI, Song KS, Lim TH (2006) Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics, 26: 317–333.
• 13. Kini S, Bis KG, Weaver L (2007) Normal and variant coronary arterial and venous anatomy on high-resolution CT angiography. Am J Roentgenol, 188: 1665–1674.
• 14. Ko SM (2008) An overview of myocardial bridging with a focus on multidetector CT coronary angiographic findings. Korean Circ J, 38: 583–589.
• 15. Montaudon M, Latrabe V, Iriart X, Caix P, Laurent F (2007) Congenital coronary arteries anomalies: review of the literature and multidetector computed tomography (MDCT)-appearance. Surg Radiol Anat, 29: 343–355.
• 16. Nowak D, Kozłowska H, Żurada A (2011) The relationship between the dimensions of the right coronary artery and the type of coronary vasculature in human foetuses. Folia Morphol, 70: 13–17.
• 17. Pahlavan PS, Niroomand F (2006) Coronary artery aneurysm: a review. Clin Cardiol, 29: 439–443.
• 18. Schmid M, Achenbach S, Ludwig J, Baum U, Anders K, Pohle K, Daniel WG, Ropers D (2006) Visualization of coronary artery anomalies by contrastenhanced multi-detector row spiral computed tomography. Int J Cardiol, 111: 430–435.
• 19. 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: 1110–1121.
• 20. Serota H, Barth CW III, Seuc CA, Vandormael M, Aguirre F, Kern MJ (1990) Rapid identification of the course of anomalous coronary arteries in adults: the “dot and eye” method. Am J Cardiol, 65: 891–898.
• 21. Shi H, Aschoff AJ, Brambs HJ, Hoffmann MH (2004) Multislice CT imaging of anomalous coronary arteries. Eur Radiol, 14: 2172–2181.
• 22. Sundaram B, Kreml R, Patel S (2010) Imaging of coronary artery anomalies. Radiol Clin North Am, 48: 711–727.
• 23. Taylor AJ, Rogan KM, Virmani R (1992) Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol, 20: 640–647.
• 24. Yamanaka O, Hobbs RE (1990) Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn, 21: 28–40.
• 25. Yildiz A, Okcun B, Peker T, Arslan C, Olcay A, Bulent Vatan M (2010) Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography. Clin Cardiol, 33: E60–E64.
• 26. van Ooijen PM, Dorgelo J, Zijlstra F, Oudkerk M (2004) Detection, visualization and evaluation of anomalous coronary anatomy on 16-slice multidetector-row CT. Eur Radiol, 14: 2163–2171.

Identyfikatory

DOI

10.5603/FM.2014.0007