Congenital anomalies of coronary arteries in complex congenital heart disease: diagnosis and analysis with dual-source CT

Journal of Cardiovascular Computed Tomography
Fang-fang YuShi-liang Jiang

Abstract

Congenital heart diseases (CHDs) are sometimes associated with coronary artery anomalies (CAAs). Accurate preoperative evaluation of coronary artery anatomy is essential for successful surgical repair of complex CHD. The aim of this study was to evaluate the incidence of congenital CAAs in patients with complex CHD at dual-source CT. Four hundred seventeen consecutive patients with complex CHD underwent contrast-enhanced cardiac CT angiography. The results were retrospectively analyzed, including the types and incidences of CAAs in various forms of complex CHD. Each patient was analyzed independently by 2 experienced cardiovascular radiologists. Image quality of coronary arteries was assessed on a 5-point scale with 2 or less being nondiagnostic. Thirty-five of 417 studies were nondiagnostic (8.39%). Sixty-three cases of CAA (15.11%) were detected by anomalous ostia and coronary arteries. CAA was involved in 6 of 108 patients with tetralogy of Fallot (5.56%), 18 of 84 patients with double outlet right ventricle (21.43%), 11 of 97 patients with pulmonary artery atresia (11.34%), 7 of 36 patients with transposition of the great arteries (22.22%), 15 of 41 patients with single ventricle (36.59%), 4 of 12 patients with truncus arte...Continue Reading

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Citations

Apr 8, 2015·Pediatric Radiology·Chun Xiang TangGuang Ming Lu
Oct 21, 2014·Fetal and Pediatric Pathology·Thora S Steffensen, Diane E Spicer
Jul 14, 2018·The British Journal of Radiology·Kristian H Mortensen, Oliver Tann
Mar 6, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hyun Woo Goo
Aug 24, 2019·Pediatric Radiology·Aurelio SecinaroPaolo Ciliberti
Sep 22, 2020·La Radiologia medica·Paolo CiancarellaAurelio Secinaro
Mar 2, 2021·Surgical and Radiologic Anatomy : SRA·Beom Sun Chung, Min Suk Chung
Aug 15, 2021·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Susana M AbreuFátima F Pinto
Nov 5, 2021·Pediatric Radiology·LaDonna J MaloneLorna P Browne

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