Coronary angiography and dual-source computed tomography are complementary methods in diagnosis of significant stenosis of the right coronary artery originating from the left aortic sinus

• Autorzy: Josef Veselka , David Zemánek , Radka Duchoňová , Peter Blaško , Theodor Adla , David Tesař , Jiří Neuwirth
• Języki publikacji: EN

Abstrakty

EN

Anomalous origin of the right coronary artery from the contralateral aortic sinus is a rare but potentially fatal congenital abnormality. We analyzed 8.066 consecutive coronary angiograms and found 4 cases demonstrating this anomaly. In 2 cases the right coronary artery was without significant atherosclerotic lesions and coursed between the aorta and pulmonary trunk. In the 2 other cases the right coronary artery was significantly stenosed. In the last case, diagnosis was based on angiographic and dual-source computed tomographic examinations. Dual-source computed tomography showed precisely the origin and course of the right coronary artery between the ascending aorta and pulmonary artery. Moreover, stenoses of the anomalous coronary artery were depicted. Subsequent coronary interventions required modification of the Amplatz left guiding catheter, which enabled a sufficient support even for coronary artery stenting. Both methods seem to be complementary in the diagnostic and therapeutic process of this coronary anomaly.

Słowa kluczowe

EN

Coronary anomaly; Stent; Dual-source computed tomography; Angina; Guiding catheter

• Czasopismo: Open Medicine
• Rocznik: 2008
• Tom: 3
• Numer: 1
• Strony: 111-114

Daty

wydano

2008-03-01

online

2008-03-01

Twórcy

autor

Josef Veselka

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic,

autor

David Zemánek

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

autor

Radka Duchoňová

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

autor

Peter Blaško

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

autor

Theodor Adla

• Department of Imaging Methods, University Hospital Motol, Prague, Czech Republic

autor

David Tesař

• Department of Imaging Methods, University Hospital Motol, Prague, Czech Republic

autor

Jiří Neuwirth

• Department of Imaging Methods, University Hospital Motol, Prague, Czech Republic

Bibliografia

• [1] Aidynlar A., Cicek D., Sentürk T., Gemici K., Serdar O.A., Kazazoglu A.R., et al., Primary congenital anomalies of the coronary arteries: a coronary arteriographic study in Western Turkey., Int. Heart. J., 2005, 46, 97–103 http://dx.doi.org/10.1536/ihj.46.97[Crossref]
• [2] Taylor A.J., Byers J.P., Cheitlin M.D., Virmani R., Anomalous right or left coronary artery from the contralateral coronary sinus: “high-risk” abnormalities in the initial coronary artery course and heterogenous clinical outcomes., Am. Heart. J., 1997, 133, 428–435 http://dx.doi.org/10.1016/S0002-8703(97)70184-4[Crossref]
• [3] Ichikawa M., Komatsu S., Asanuma H., Iwata A., Ishiko T., Hirayama A., et al., Acute myocardial infarction caused by malignant anomalous right coronary artery detected by multidetector row computed tomography., Circ. J., 2005, 69, 1564–1567 http://dx.doi.org/10.1253/circj.69.1564[Crossref]
• [4] Johnson T.R.C., Nikolau K., Wintersperger B.J., Leber A.W., von Ziegel F., Rist C., et al., Dual-source CT cardiac imaging., Eur. Radiol., 2006, 16, 1409–1415 http://dx.doi.org/10.1007/s00330-006-0298-y[Crossref]
• [5] Zemánek D., Veselka J., Coronary anomalies - a short review. Cent. Eur. J. Med., 2007, 2, 140–153 http://dx.doi.org/10.2478/s11536-007-0012-8[Crossref][WoS]
• [6] Ceyhan C., Tekten T., Onbasili A.O., Primary percutaneous coronary intervention of anomalous origin of right coronary artery above the left sinus of Valsalva in a case with acute myocardial infarction., Int. J. Cardiovasc. Imaging., 2004, 20, 293–297 http://dx.doi.org/10.1023/B:CAIM.0000041946.61659.a6[Crossref]
• [7] Quayyum U., Leya F., Steen L., Sochanski M., Grassman E., Cho L., et al., New catheter design for cannulation of the anomalous right coronary artery arising from the left sinus of Valsalva., Catheter. Cardiovasc. Interv. 2003, 60, 382–388 http://dx.doi.org/10.1002/ccd.10650[Crossref]
• [8] Rossen J.D., Technical note: a useful guide catheter modification for anomalous right coronary arteries., Catheter. Cardiovasc. Interv., 2005, 65, 37–40 http://dx.doi.org/10.1002/ccd.20329[Crossref]
• [9] Seth A., Understand and use your rights., Catheter Cardiovasc. Interv., 2005, 65, 41–42 http://dx.doi.org/10.1002/ccd.20364[Crossref]
• [10] Sohara H., Tsurukawa T., Kawabata K., Kawano R., Amitani S., Kurose M., et al., Pitfalls of intervention therapy in a patient with anomalous origin of the right coronary artery from the left sinus of Valsalva associated with organic stenosis., J. Cardiol., 1997, 29, 111–115
• [11] Spargias K., Kariofyllis P., Mavrogeni S., Percutaneous coronary intervention in anomalous right coronary arteries arising from the left sinus of Valsalva: a report of two cases and observations on the pattern of atherosclerosis., J. Invas. Cardiol., 2006, 18, E78–81
• [12] Achenbach S., Ropers D., Kuettner A., Flohr T., Ohnesorge B., Bruder H., et al., Contrast-enhanced coronary artery visualization by dual-source computed tomography-initial experience., Eur. J. Radiol., 2006, 57, 331–335 http://dx.doi.org/10.1016/j.ejrad.2005.12.017[Crossref]
• [13] Matt D., Scheffel H., Leschka S., Flohr T.G., Marincek B., Kaufmann P.A., et al., Dual-source coronary angiography: image quality, mean heart rate, and heart rate variability., AJR. Am. J. Roentgenol., 2007, 189, 567–573 http://dx.doi.org/10.2214/AJR.07.2078[Crossref]
• [14] Scheffel H., Alkadhi H., Plass A., Vachenauer R., Desbiolles L., Gaemperli O., et al., Accuracy of dualsource CT coronary angiography: first experience in a high pre-test probability population without heart rate control., Eur. Radiol., 2006, 16, 2739–2747 http://dx.doi.org/10.1007/s00330-006-0474-0[Crossref]
• [15] Zemánek D., Veselka J., Kautznerová D., Tesař D., The anomalous origin of the left coronary artery from the right aortic sinus: is the coronary angiography still a “gold standard”?, Int. J. Cardiovasc. Imaging., 2005, 17, 1–7

Identyfikatory

DOI

10.2478/s11536-007-0053-z