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Published on: August 28, 2018
Single coronary artery: spectrum of imaging findings with multidetector CT
Natalia Aldana-Sepulveda1, Carlos S Restrepo1, Eric Kimura-Hayama1
1Department of Radiology, Instituto Nacional de Cardiologia Ignacio Chavez, Juan Badiano 1, Col. Sección XVI, 14080 Mexico City, Distrito Federal Mexico.
Insights
Single coronary artery is a rare congenital anomaly where one artery supplies the entire heart. Diagnosis is crucial for treatment, with multidetector CT improving detection of this coronary anomaly.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Medical Imaging
Background:
- Single coronary artery (SCA) is a rare congenital anomaly originating from the aorta, supplying the entire heart.
- It can be an isolated finding or associated with other cardiac anomalies.
- Recognition of SCA has increased due to advancements in imaging technologies.
Purpose of the Study:
- To review the classification of single coronary artery anomalies.
- To discuss the clinical significance of SCA.
- To illustrate SCA imaging findings using multidetector CT.
Main Methods:
- Review of existing literature on single coronary artery.
- Classification based on origin, branching pattern, and course.
- Analysis of multidetector CT imaging findings in diagnosed SCA cases.
Main Results:
- SCA is classified based on its anatomical characteristics.
- Diagnosis holds therapeutic implications, even when incidental.
- Multidetector CT is increasingly effective in identifying SCA.
Conclusions:
- Understanding SCA classification is essential for clinical management.
- Multidetector CT plays a vital role in diagnosing SCA.
- SCA diagnosis is important due to potential therapeutic interventions.
Abstract:
Single coronary artery is a rare congenital anomaly in which a single artery arises from the aorta. The anomalous single trunk supplies blood to the entire heart. It is classified according to its origin, branching pattern, and course. The presence of a single coronary artery can be an isolated finding or associated with additional cardiac anomalies. Diagnosis is important because of therapeutic implications, although it is an incidental finding. As with any other coronary anomalies, its recognition is more common today because of increasing use of multidetector CT. The objective of this article is to review the classification of single coronary artery anomaly and its clinical significance and to illustrate the imaging findings on multidetector CT.
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