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Coronary collaterals by transthoracic echocardiography in coronary artery disease

Anne Anjaneyulu1, Christopher Johann, Raju P Raghava

  • 1Division of Cardiology, CARE Hospital, Banjara Hills, Hyderabad, India. anjan_anne@yahoo.com

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|May 4, 2004
PubMed

Insights

Transthoracic echocardiography successfully demonstrated coronary collaterals in three patients with coronary artery disease before conventional angiography. This novel approach offers a potential non-invasive method for visualizing coronary collateral circulation.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Vascular Biology

Background:

  • Coronary collaterals are typically visualized using coronary angiography.
  • Transthoracic echocardiography has shown utility in demonstrating collaterals in specific congenital anomalies.
  • Myocardial contrast echocardiography provides indirect assessment of collateral flow to infarct-related arteries.

Observation:

  • This study reports on three patients with coronary artery disease (CAD).
  • Coronary collaterals were visualized using transthoracic echocardiography prior to coronary angiography.
  • This represents a novel application of TTE for collateral demonstration in general CAD.

Findings:

  • Transthoracic echocardiography effectively demonstrated coronary collaterals in all three patients.
  • The echocardiographic findings correlated with the subsequent angiographic results.
  • This non-invasive method provides valuable anatomical and functional information about collateral pathways.

Implications:

  • Transthoracic echocardiography may offer a non-invasive alternative or adjunct for assessing coronary collaterals in CAD patients.
  • This technique could improve pre-angiography risk stratification and treatment planning.
  • Further research is warranted to validate TTE's role in routine clinical practice for CAD.

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