Anomalous origin of the right coronary artery originating from the left coronary sinus of valsalva with an interarterial course: diagnosis and dynamic evaluation using dual-source computed tomography

Journal of Computer Assisted Tomography
Long-Jiang ZhangGuang-Ming Lu

Abstract

The purpose of this study was to assess the clinical value of dual-source computed tomography (DSCT) in the detection and dynamic evaluation of the anomalous origin of the right coronary artery originating from the left coronary sinus of Valsalva (ARCAOLS) with an interarterial course. Thirteen patients with ARCAOLS with an interarterial course and 11 controls with normal origin of the right coronary artery (RCA) were included into this study from December 2006 to April 2008. The origin and course of the RCA were determined on maximum intensity projection, volume rendering, and virtual endoscopy images. The diameter of the proximal segment of the RCA was measured dynamically in all phases of the cardiac cycle; the systolic stenostic rate of the proximal RCA was computed. The angle between the aorta and the proximal segment of RCA was also measured. The average heart rate was 71.92 and 70.76 beats/min for patients and controls, respectively. The systolic image quality score of proximal RCA was 4, whereas the diastolic image quality score of proximal RCA was 3.82. Reformatted images could clearly display the ARCAOLS with a smaller orifice than that of the left coronary artery, coursing in an acute angle between the ascending aort...Continue Reading

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Citations

Mar 10, 2017·The Journal of Thoracic and Cardiovascular Surgery·Julie A BrothersJames S Tweddell
Mar 6, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Young Jin KimUNKNOWN Korean Society of Cardiology
Sep 6, 2011·The International Journal of Cardiovascular Imaging·John A MillerPaul R Julsrud
Mar 10, 2020·Texas Heart Institute Journal·Christoph GräniGeorge C M Siontis
Jul 1, 2020·Texas Heart Institute Journal·Harini BollempalliPatricia C Lee
Apr 21, 2020·Coronary Artery Disease·Sameer SaleemMujeeb Sheikh
Feb 9, 2021·Frontiers in Cardiovascular Medicine·Marius Reto BiglerChristoph Gräni

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