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Coronary anomalies diagnosed with transesophageal echocardiography: complementary clinical value in adults

J D Kasprzak1, D Kratochwil, J Z Peruga

  • 1Cardiology Dept, Medical University of Lódź, Poland. jdkasprzak@hotmail.com

International Journal of Cardiac Imaging
|June 9, 1998
PubMed

Insights

Transesophageal echocardiography effectively visualizes anomalous coronary arteries, offering anatomical and functional insights. This noninvasive method aids in diagnosing coronary artery anomalies, potentially simplifying invasive procedures.

Area of Science:

  • Cardiovascular Imaging
  • Echocardiography
  • Interventional Cardiology

Background:

  • Coronary arteriography is standard for coronary anatomy assessment.
  • Anatomical anomalies can complicate angiogram interpretation.
  • Transesophageal echocardiography (TEE) offers noninvasive tomographic visualization of proximal coronary arteries.

Observation:

  • Eleven patients with confirmed coronary anomalies underwent TEE between 1993-1996.
  • TEE delineated coronary ostia and proximal courses in all patients.
  • TEE provided better definition of coronary artery relationships with the aorta and pulmonary trunk.

Findings:

  • TEE identified serious anomalies in 3 patients and benign anomalies in 8.
  • TEE findings were consistent with angiography, but identified missed common left main coronary artery origins in 2 patients.
  • Doppler flow analysis excluded anomaly-related flow disturbances.

Implications:

  • TEE is a valuable noninvasive tool for evaluating anomalous proximal coronary arteries.
  • Routine TEE use is suggested when coronary anomalies are suspected.
  • This approach may streamline invasive procedures for patients with coronary anomalies.
Abstract

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