Coronary anomalies: what the radiologist should know

Radiologia Brasileira

Priscilla Ornellas Neves¹  Joalbo Andrade¹  Henry Monção¹ 

关键词: Coronary anomaly;    Coronary computed tomography angiography;    Coronary angiography;    Coronárias anômalas;    Angiotomografia computadorizada coronariana;    Angiografia coronária;   

DOI  :  10.1590/0100-3984.2014.0004

来源: SciELO

【 摘 要 】

AbstractCoronary anomalies comprise a diverse group of malformations, some of them asymptomatic with a benign course, and the others related to symptoms as chest pain and sudden death. Such anomalies may be classified as follows: 1) anomalies of origination and course; 2) anomalies of intrinsic coronary arterial anatomy; 3) anomalies of coronary termination. The origin and the proximal course of anomalous coronary arteries are the main prognostic factors, and interarterial course or a coronary artery is considered to be malignant due its association with increased risk of sudden death. Coronary computed tomography angiography has become the reference method for such an assessment as it detects not only anomalies in origination of these arteries, but also its course in relation to other mediastinal structures, which plays a relevant role in the definition of the therapeutic management. Finally, it is essential for radiologists to recognize and characterize such anomalies.

【 授权许可】

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