Anomalous origin of the three coronary arteries from the right aortic sinus Valsalva: role of MDCT coronary angiography.

The International Journal of Cardiovascular Imaging
Ayman A El-MenyarJassim Al-Suwaidi

Abstract

Monocuspal origin of all three coronary arteries through separate ostia from the right aortic sinus (RCS) is a rare occurrence. To date, the use of multidetector computed tomography (MDCT) for imaging of congenitally abnormal coronary arteries has been discussed only in few individual case reports. To describe the role of MDCT coronary angiography in the evaluation of two rare cases of monocuspal origin of all three coronary from RCS. We had a retrospective review of clinical information and imaging studies for two patients presented with chest pain. Both patients underwent conventional coronary angiography followed by noninvasive imaging with MDCT. Both patients had anomalous origin of the all three coronary arteries from the RCS. In one case the LAD took an intramural course in between the aorta and the right ventricular outflow tract (RVOT) while it passed anterior to the RVOT in the other patient. In the first patient, there was also associated coronary fistula to the right ventricle along with right coronary artery (RCA) and left anterior descending coronary artery (LAD) narrowing. Both the stenosed segments were successfully stented and were demonstrated to be patent in the subsequent MDCT. Monocuspal origin of all three ...Continue Reading

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Citations

Oct 23, 2012·Cardiology in the Young·Aysel TürkvatanDilek Altınsoy
Mar 27, 2007·Current Problems in Cardiology·Ayman A El-MenyarDavid R Holmes
Mar 29, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·David J Moliterno
Feb 3, 2015·Anatomia, histologia, embryologia·K BarszczP Janczyk
Mar 10, 2017·The Journal of Thoracic and Cardiovascular Surgery·Julie A BrothersJames S Tweddell
May 15, 2015·Journal of Clinical Imaging Science·Lale PasaogluGokhan Yagiz
Aug 31, 2019·Radiology Research and Practice·Rashid Al Umairi, Maryam Al-Khouri

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