Anomalous origin of the coronary artery from the wrong coronary sinus evaluated with computed tomography: "high-risk" anatomy and its clinical relevance.
Eur Radiol
; 24(10): 2353-9, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-24895033
ABSTRACT
OBJECTIVE:
The aim of the study was to assess coronary arteries arising from the wrong coronary sinus, including CT-evaluated high-risk anatomic features, clinical symptoms and cardiac events during follow-up.METHODS:
A total of 7,115 patients scheduled for 64-slice or dual-source cardiac CT were screened for the presence of isolated anomalous origin of the coronary artery from the wrong coronary sinus.RESULTS:
Anomalous origin of the coronary artery was found in 54 (0.76 %) patients (29 men, 25 women, mean age 60.9 ± 11.6 years). Sixteen (30 %) patients with abnormal right coronary origin (ARCA) more commonly had a slit-like orifice (15 vs. 3; p < 0.001), intramural course (15 vs. 3; p < 0.001) and interarterial course (11 vs. 0; p < 0.001) than 22 (41 %) and 13 (24 %) individuals with abnormal circumflex artery (ALCx) and left coronary artery (ALCA) origin, respectively. Patients with ALCA presented less frequently with chest pain than subjects with ARCA and ALCx (25 vs. 3; p = 0.03). Patients with ARCA tended to show higher occurrence of cardiac events in the follow-up than individuals with ALCA and ALCx (5 vs. 4; p = NS).CONCLUSIONS:
High-risk anatomy features are most common in patients with ARCA and these patients also have higher prevalence of chest pain and cardiac events in the follow-up than individuals with ALCA and ALCx. KEY POINTS ⢠Multislice computed tomography enables detection and evaluation of the coronary artery anomalies. ⢠Anomalous anatomy of the coronary artery potentially influences the prevalence of adverse events. ⢠Adverse events tend to be most common in anomalous right coronary arteries.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor no Peito
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Anomalias dos Vasos Coronários
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Seio Coronário
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Tomografia Computadorizada Multidetectores
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article