Anomalies of coronary arteries: do we know everything about them ?
https://doi.org/10.24835/1607-0763-2018-6-10-12
Abstract
The editorial discusses the original article of E.F. Abbasov et al. “Epidemiology anomalies of coronary artery origin and course”. Editorial stresses high incidence of congenital coronary anomalies. It discusses types of such anomalies, their classifications and clinical significance. Myocardial “bridges” are the most frequent anomaly of coronary artery course. This anomaly is benign but in rare cases when obstruction of the coronary blood flow through the tunneled segment of the artery is suspected, use of additional functional tests (studies of myocardial perfusion or coronary blood flow) is recommended. It is important to note that coronary CT-angiography has advantages over traditional catheter angiography in detection of coronary anomalies.
About the Author
V. E. SinitsynRussian Federation
Valentin E. Sinitsyn – doct. of med. sci., Professor, Provessor
faculty of fundamental medicine and University Hospital
Lomonosovsky prospekt, 27-1, 119991 Moscow, Russian Federation. Faculty of Fundamental medicine of Lomonosov Moscow State University. Phone: +7-916-655-24-64
References
1. Angelini P. Coronary artery anomalies – current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines. Tex. Heart Inst. J. 2002; 29: 271–278.
2. Datta J., White C.S., Gilkeson R.C., Meyer C.A., Kansal S., Jani M.L., Arildsen R.C., Read K. Anomalous Coronary Arteries in Adults: Depiction at Multi-Detector Row CT Angiography. Radiology. 2005; 235: 812–818. DOI: 10.1148/radiol.2353040314.
3. Chamokova B.B., Sinitsyn V.E. Detection of anomalous coronary arteries with CT-angiography. Diagnostic radiology and radiotherapy. 2013; 4: 10–25. (In Russian)
4. Dimitriu-Leen A.-C., van Rosendael A.R., Smit J.M., van Elst T., van Geloven N., Maaniitty T., Jukema J.W., Delgado V., Scholte A.J.H.A., Saraste A., Knuuti J., Bax J.J. Long-term prognosis of patients with intramural course of coronary arteries assessed with CT angiography. J. Am. Coll. Cardiol. Img. 2017; 10: 1451–1458. DOI: 10.1016/j.jcmg.2017.02.013.
5. Uusitalo V., Saraste A., Pietilä M., Kajander S., Bax J.J., Knuuti J. The Functional Effects of Intramural Course of Coronary Arteries and its Relation to Coronary Atherosclerosis. JACC Cardiovasc. Imaging. 2015; 8 (6): 697–704. DOI: 10.1016/j.jcmg.2015.04.001.
6. Migliore F., Maffei E., Marra M.P. LAD Coronary Artery Myocardial Bridging and Apical Ballooning Syndrome. JACC Cardiovasc. Imaging. 2013; 6 (1): 32–41. DOI: 10.1016/j.jcmg.2012.08.013.
Review
For citations:
Sinitsyn V.E. Anomalies of coronary arteries: do we know everything about them ? Medical Visualization. 2018;22(6):10-12. (In Russ.) https://doi.org/10.24835/1607-0763-2018-6-10-12