Coronary artery anomalies: Classification and ECG-gated multi-detector row CT findings with angiographic correlation

So Yeon Kim, Joon Beom Seo, Kyung Hyun Do, Jeong Nam Heo, Jin Seong Lee, Jae Woo Song, Yeon Hyeon Choe, Tae Hoon Kim, Hwan Seok Yong, Sang Il Choi, Koun Sik Song, Tae Hwan Lim

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205 Citations (Scopus)

Abstract

Congenital abnormalities of the coronary arteries are an uncommon but important cause of chest pain and, in some cases of hemodynamically significant abnormalities, sudden cardiac death. For several decades, premorbid diagnosis of coronary artery anomalies has been made with conventional angiography. However, this imaging technique has limitations due to its projectional and invasive nature. The recent development of electrocardiographically (ECG)-gated multi-detector row computed tomography (CT) allows accurate and noninvasive depiction of coronary artery anomalies of origin, course, and termination. Multi-detector row CT is superior to conventional angiography in delineating the ostial origin and proximal path of an anomalous coronary artery. Familiarity with the CT appearances of various coronary artery anomalies and an understanding of the clinical significance of these anomalies are essential in making a correct diagnosis and planning patient treatment.

Original languageEnglish
Pages (from-to)317-333
Number of pages17
JournalRadiographics
Volume26
Issue number2
DOIs
Publication statusPublished - 2006

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Kim, S. Y., Seo, J. B., Do, K. H., Heo, J. N., Lee, J. S., Song, J. W., Choe, Y. H., Kim, T. H., Yong, H. S., Choi, S. I., Song, K. S., & Lim, T. H. (2006). Coronary artery anomalies: Classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics, 26(2), 317-333. https://doi.org/10.1148/rg.262055068