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Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
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Intercoronary communication in chronic total occlusion: In search of recognition

Mohit D Gupta1, M P Girish1, Sudhansu Sekhar Parida1

  • 1Department of Cardiology, GB Pant Hospital and associated Maulana Azad Medical College, New Delhi, India.

Indian Heart Journal
|October 19, 2016
PubMed

Insights

Intercoronary communications (ICC) are rare, but can exist with chronic total occlusion. CT coronary angiography revealed ICC anatomically, even when not visible on traditional angiography.

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Anatomy

Background:

  • Intercoronary communications (ICC), also known as open-ended coronary circulation, are uncommon vascular anomalies.
  • Chronic total occlusion (CTO) of a coronary artery presents unique challenges in cardiovascular assessment.

Observation:

  • A rare case of intercoronary communication (ICC) was identified in a patient with chronic total occlusion.
  • CT coronary angiography provided novel visualization of ICC anatomy, distinct from conventional angiography findings.

Findings:

  • The study demonstrates the anatomical presence of ICC in a CTO case.
  • CT coronary angiography successfully visualized ICC, highlighting its utility in complex coronary anatomy.

Implications:

  • Understanding ICC in CTO can refine pathophysiological models of coronary circulation.
  • This finding may influence clinical strategies for managing patients with complex coronary artery disease.
  • CT coronary angiography offers a valuable tool for diagnosing rare coronary anomalies like ICC.

Keywords:
CT angiographyChronic total occlusionIntercoronary communicationOpen-ended coronary circulation

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