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Published on: August 28, 2018
Anomalous single coronary artery on low dose MDCT
Anurag Yadav1, T B S Buxi, Kishan Rawat
1Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India. anu_nalin@hotmail.com
Insights
Single coronary artery anomalies, rare conditions affecting coronary artery anatomy, can present from asymptomatic to sudden death. Low-dose CT imaging is valuable for diagnosing and monitoring these anomalies.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Coronary artery anomalies are uncommon congenital conditions affecting coronary artery origin, course, or structure.
- Prevalence in the general population is less than 1%, with presentations ranging from asymptomatic to sudden cardiac death.
Observation:
- Multi-detector computed tomography (CT) has significantly advanced the diagnosis of coronary artery anomalies.
- Its non-invasive nature and 3D reconstruction capabilities offer substantial benefits over traditional methods.
Findings:
- The study reports two cases of clinically significant single coronary artery anomalies: a single right coronary artery and a single left coronary artery.
- These cases highlight anomalies in both the origin and course of the coronary arteries.
Implications:
- Accurate definition of coronary anatomy using low-dose CT is crucial for clinical decision-making and timely intervention.
- Low-dose CT serves as an excellent diagnostic and follow-up tool, reducing the need for repeated invasive procedures.
Abstract:
Coronary artery anomalies may involve the origin, course, and structure of epicardial coronary arteries and occur in less than 1% of the general population. Clinical presentation ranges from being completely asymptomatic to sudden death. Multi-detector computed tomography has come a long way in the diagnosis of coronary artery anomalies since the introduction of 4 rows of detectors in scanners, considering its non invasive nature and the benefits of 3D reconstruction. Defining the coronary anatomy helps in clinical decision making and timely intervention. Since repeated angiographies may be required, low dose CT is an excellent investigation for diagnosis and post interventional follow up rather than repeated invasive catheter angiographies or high dose CT examination. We report two cases of clinically significant single coronary artery anomalies; a case of single Right coronary artery and another case of single Left coronary artery (Anomaly of origin & course).
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