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Updated: Jun 28, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
[Identification of anomalous coronary arteries and their anatomic course by multidetector computed tomography
P Leddet1, P Couppie, J-L Burguet
1Pôle cardioneurovasculaire, centre hospitalier de Haguenau, 64, avenue du Professeur-Leriche, 67504 Haguenau, France. pierre.leddet@ch-haguenau.fr
Insights
Coronary computed tomography (CT) effectively diagnoses coronary anomalies, detailing their course and relationship with major vessels. This non-invasive imaging is crucial for pre-surgical assessment and evaluating exertional syncope in young adults.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Context:
- Coronary anomalies are rare but can cause serious complications, including sudden death.
- Conventional coronary angiography has limitations in fully assessing these anomalies, particularly the arterial course.
- There is a need for advanced imaging techniques to better evaluate coronary anomalies.
Purpose:
- To evaluate the utility of coronary computed tomography (CT) in diagnosing and assessing coronary anomalies.
- To determine if coronary CT can accurately visualize the coronary artery course and its relationship with great vessels.
- To assess the role of coronary CT in pre-surgical planning and evaluating exertional syncope.
Summary:
- A retrospective study of 12 patients with coronary anomalies diagnosed via coronary angiography was conducted using 16-slice coronary CT.
- Coronary CT successfully confirmed the diagnosis and precisely delineated the coronary artery course and its spatial relationship with the great vessels in all cases (100%).
Impact:
- Multislice coronary CT is a valuable tool for diagnosing coronary aberrations and aiding in pre-surgical assessment.
- Its non-invasive nature and effectiveness make it suitable for evaluating exertional syncope in young adults, distinguishing between benign and malignant forms.
Background:
The coronary anomalies are generally asymptomatic and rare. However, their potential complications are serious and mainly represented by the risk of sudden death. The coronarography appears insufficient to carry out the complete assessment of these anomalies, and in particular to study the arterial course. The endpoint of our series is to evaluate the interest of the coronary computed tomography (CT) in this indication.
Patients And Methods:
We report the results of a 16-slice coronary-CT monocentric retrospective series among 12 patients presenting coronary anomalies diagnosed in coronarography.
Results:
Coronary-CT has confirmed the diagnosis, specified the coronary course and the relation with the great vessels in 100% of the cases.
Conclusions:
Multislice coronary-CT seems an examination of choice for the diagnosis and the presurgical assessment of the coronary aberrations, like for the distinction of the benign and malign forms. Its effectiveness and its "non-invasive" character are strong arguments to include it in the assessment of syncopes linked to effort in the young adult.
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