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Cardiovascular magnetic resonance of anomalous coronary arteries

Anitha Varghese1, Jennifer Keegan, Dudley J Pennell

  • 1Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK.

Coronary Artery Disease
|August 25, 2005
PubMed

Insights

Cardiovascular magnetic resonance is crucial for diagnosing anomalous coronary arteries, which pose risks like heart attack and sudden death. This review details its role in identifying these abnormal coronary artery origins and courses.

Area of Science:

  • Cardiovascular Imaging
  • Congenital Heart Disease
  • Radiology

Background:

  • Anomalous coronary arteries, defined by abnormal origin or number of ostia, are a significant clinical concern.
  • These anomalies can lead to myocardial infarction and sudden cardiac death, particularly when an interarterial course is present.
  • Cardiovascular magnetic resonance (CMR) is a key diagnostic tool for evaluating these conditions.

Purpose of the Study:

  • To review the established role and practical applications of cardiovascular magnetic resonance in diagnosing anomalous coronary arteries.
  • To highlight the importance of CMR in identifying abnormal coronary artery origins and courses.

Main Methods:

  • Review of existing literature and clinical practice guidelines regarding CMR for anomalous coronary arteries.
  • Discussion of CMR techniques and imaging findings specific to various anomalous coronary artery types.
  • Emphasis on the diagnostic accuracy and clinical utility of CMR.

Main Results:

  • Cardiovascular magnetic resonance is a class I indication for evaluating anomalous coronary arteries.
  • CMR effectively visualizes abnormal coronary artery origins (e.g., from the pulmonary artery, incorrect sinus) and interarterial courses.
  • The technique aids in risk stratification by identifying potentially life-threatening anomalies.

Conclusions:

  • Cardiovascular magnetic resonance plays a vital role in the diagnosis and management of anomalous coronary arteries.
  • CMR provides comprehensive anatomical detail crucial for understanding the clinical significance of these anomalies.
  • This review underscores the utility of CMR in a field with a high risk of adverse cardiovascular events.

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