Anomalous coronary arteries in adults detected by multislice computed tomography: presentation of cases from multicenter registry and review of the literature

被引：42

作者：

Komatsu, Sei

Sato, Yuichi ^{[1
]}

Ichikawa, Makoto ^{[1
]}

Kunimasa, Taeko ^{[2
]}

Ito, Shingo ^{[2
]}

Takagi, Takuro ^{[2
]}

Lee, Tetsuo ^{[2
]}

Matsumoto, Naoya ^{[1
]}

Takayama, Tadateru ^{[1
]}

Ichikawa, Miroru ^{[3
]}

Hirayama, Atsushi

Mishima, Masayoshi ^{[3
]}

Saito, Satoshi ^{[1
]}

Kodama, Kazuhisa

机构：

[1] Nihon Univ, Sch Med, Dept Cardiol, Chiyoda Ku, Tokyo 1018309, Japan

[2] Toshiba Hosp, Div Cardiol, Tokyo, Japan

[3] Kawachi Gen Hosp, Div Cardiovasc, Higashiosaka, Osaka, Japan

来源：

HEART AND VESSELS | 2008年 / 23卷 / 01期

关键词：

anomalous coronary artery; multislice computed tomography;

D O I：

10.1007/s00380-007-1005-x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Anomalous coronary arteries are a rare condition, but they may cause myocardial ischemia, heart failure, and sudden death. We evaluated the prevalence and multislice computed tomographic (MSCT) findings of anomalous coronary arteries in a large number of patients from the multicenter registry. At four institutes, 29 (0.74%) out of 3910 patients were found to have anomalous coronary arteries by MSCT. They consisted of 15 patients with anomalous origins of the right coronary artery, 1 with right-sided origin of the left circumflex artery, 1 with right-sided origin of the left main coronary artery, 2 with double right coronary arteries, 2 with the absence of the left circumflex artery, 1 with absence of the right coronary artery, 6 with coronary artery fistulas, and 1 with Bland-White-Garland syndrome. Multislice computed tomography findings were consistent with those obtained by conventional coronary angiography in all 14 patients undergoing both diagnostic procedures. Multislice computed tomography permits three-dimensional comprehension of coronary arteries, which is suitable for the diagnosis of anomalous coronary arteries.

引用

页码：26 / 34

页数：9

共 55 条

[1] An interesting diagnostic dilemma: Double right coronary artery or high take off of a large right ventricular branch [J].