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A case of anomalous coronary artery origin: The role of computerised tomography

Jeeva John1, John H Miller1, Stephen J Leslie2

  • 1Department of Radiology, Raigmore Hospital, Inverness, UK.

SAGE Open Medical Case Reports
|August 5, 2016
PubMed

Insights

Computed tomography coronary angiography (CTCA) effectively assessed anomalous coronary arteries in a patient with unstable angina. This imaging technique can potentially obviate the need for invasive procedures.

Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology
  • Radiology

Background:

  • Anomalous coronary arteries can present with diverse clinical manifestations, including unstable angina.
  • Accurate anatomical assessment is crucial for guiding management strategies.

Observation:

  • A 65-year-old woman with unstable angina underwent both invasive coronary angiography and CT coronary angiography.
  • Invasive coronary angiography revealed aberrant coronary arteries originating from separate ostia in the right coronary cusp.

Findings:

  • CT coronary angiography provided detailed visualization of the aberrant coronary arteries.
  • The precise course of these anomalous vessels relative to surrounding cardiovascular structures was confirmed by CTCA.

Implications:

  • CT coronary angiography demonstrates significant utility in evaluating complex coronary artery anomalies.
  • Early utilization of CTCA may reduce the necessity for invasive coronary angiography, enhancing patient safety and potentially lowering healthcare costs.
Abstract

Keywords:
Cardiovascularaberrant coronary arterycomputerised tomography

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