6533b850fe1ef96bd12a838b

RESEARCH PRODUCT

Anatomical variants and anomalies of the coronary tree studied with MDCT coronary angiography

R. Pozzi MucelliLudovico La GruttaS. BrunelliMassimo MidiriDomenico TavellaPaolo BenussiMirko D'onofrioRoberto Malago

subject

Coronary angiographymedicine.medical_specialtyFistulaCoronary anomaliesCoronary Vessel AnomaliesFistulaAsymptomaticAnginaImaging Three-DimensionalHumansMedicineRadiology Nuclear Medicine and imagingcardiovascular diseasesNeuroradiologyCoronary variantsmedicine.diagnostic_testbusiness.industryMDCTInterventional radiologyGeneral Medicinemedicine.diseaseMiocardial bridgingRadiographic Image EnhancementCoronary arteriesmedicine.anatomical_structurecardiovascular systemTomographyRadiologymedicine.symptomcoronary angiographyTomography X-Ray ComputedbusinessSettore MED/36 - Diagnostica Per Immagini E RadioterapiaMDCT; coronary angiography; Coronary anomalies; Coronary variants; Miocardial bridging; FistulaMDCT coronary angiography Coronary anomalies Coronary variants Miocardial bridging Fistula

description

Le anomalie delle arterie coronariche sono presenti alla nascita nella maggior parte dei casi asintomatiche ma possono manifestarsi con sintomatologia severa quale angina pectoris o addirittura l’arresto cardiaco. L’angiografia coronarica mediante tomografia computerizzata multistrato (TCMS) permette, tramite ricostruzioni multiplanari secondo piani curvilinei e riformattazioni 3D, la visualizzazione dell’albero coronarico e delle sue varianti ed anomalie in maniera non invasiva, fornendo migliore e più accurata alternativa alla angiografia coronarica (AC). Lo scopo di questo pictorial consiste nella descrizione mediante immagini TCMS con ricostruzioni multiplanari e 3D delle principali varianti e anomalie delle arterie coronarie. Anomalies of the coronary arteries are congenital and in most of the cases asymptomatic, although they may present with severe symptoms such as angina pectoris or cardiac arrest. Multidetector CT coronary angiography (MDCTCA) permits, through curved multiplanar reconstructions and three-dimensional reformatting, noninvasive visualisation of the coronary tree and its variants and anomalies, providing a more accurate alternative to conventional coronary angiography (CCA). The purpose of this pictorial essay is to describe the main variants and anomalies of the coronary arteries using MDCT imaging with multiplanar and three-dimensional reconstructions.

10.1007/s11547-010-0522-3http://hdl.handle.net/11562/340653