Multidetector Computed Tomography Evaluation of Congenital Coronary Artery Variants: A Pictorial Essay Chapter 7 | New Visions in Medicine and Medical Science Vol. 9

 

The purpose of this pictorial essay is to review the multidetector computed tomography (MDCT) coronary angiography appearance of congenital coronary artery variants [CCAV]. Catheter angiography cannot detect ectopic openings of coronary arteries since it is only a two-dimensional study. Often, a diagnosis of an anomaly is made on MDCT coronary angiography, when catheter angiography fails to show the normal anatomy.

Although CCAVs are relatively uncommon, familiarity with atypical anatomy and their clinical presentation may facilitate appropriate diagnosis and management. Axial sections, multiplanar reconstructions, virtual angioscopy, and 3D volume-rendered images should aid in the detection and improve the interpretation of such anomalies, which can be of immense help to the clinician planning interventional procedures, like stenting, ablation procedures, balloon dilatation, or graft surgery particularly when there are secondary changes of atherosclerosis, calcification, plaque formation and stenosis.

 

Author(s) Details:-

 

Krishna Kumar M.
Department of Radio-diagnosis, Trichy SRM Medical College Hospital & Research Centre, Irungalur, Trichy-621105, India.

 

Prof. DR. Senthilnathan V., MD., RD.,
Department of Radio-diagnosis, Trichy SRM Medical College Hospital & Research Centre, Irungalur, Trichy-621105, India.

 

Dr. Dharan Venkatesh K.A., MD.,RD.,
Department of Radio-diagnosis, Trichy SRM Medical College Hospital & Research Centre, Irungalur, Trichy-621105, India.

 

Please see the link here:-  https://doi.org/10.9734/bpi/nvmms/v9/8370E

Multidetector Computed Tomography Evaluation of Congenital Coronary Anomalies: A Pictorial Essay | Chapter 6 | New Visions in Medicine and Medical Science Vol. 8

The purpose of this pictorial essay is to review the Multi-detector Computed Tomography (MDCT) coronary angiography appearance of congenital coronary anomalies [CCA]. CCA are uncommon and most of them are diagnosed incidentally during conventional coronary angiography or MDCT angiography. CCA might also be classified as haemodynamically significant or insignificant. Chest discomfort, dyspnoea, palpitations, syncope, cardiomyopathy, arrhythmia, infarction and sudden cardiac death are examples of clinical symptoms. Even though CCA are not prevalent, they should be thoroughly examined because they are the second most common cause of sudden cardiac death in young athletes. Familiarity with atypical anatomy and their clinical presentation may facilitate appropriate diagnosis and management. This will be of immense help to the clinician planning interventional procedures like stenting, balloon dilatation, or graft surgery particularly when there are secondary changes of calcification, plaque formation and stenosis. Axial sections, multiplanar reconstructions, virtual angioscopy, and 3D volume-rendered images should aid in the detection and improve the interpretation of such anomalies, which can be of immense help to the clinician planning interventional procedures.

Author(s) Details:

Krishna Kumar,
Department of Radio-diagnosis. Trichy SRM Medical College Hospital & Research Centre. Irungalur, Trichy-621105, India.

Senthilnathan. V. 
Department of Radio-diagnosis. Trichy SRM Medical College Hospital & Research Centre. Irungalur, Trichy-621105, India.


Dharan Venkatesh K. A.
Department of Radio-diagnosis. Trichy SRM Medical College Hospital & Research Centre. Irungalur, Trichy-621105, India.

Please see the link here: https://doi.org/10.9734/bpi/nvmms/v8/8369E