Key result
Analysis of coronary venous anatomy on CT can detect coronary venous anomalies that cause right-to-left shunts, left-to-right shunts, and arrhythmias.
CT imaging with optimized protocols can effectively depict coronary venous anatomy and detect clinically significant anomalies such as shunts.
CT may identify coronary venous anomalies linked to shunts or arrhythmias; leaves open prospective validation before clinical adoption.
Coronary venous anatomy can be divided into the greater cardiac venous system and the lesser cardiac venous system. With protocol optimization, including appropriate contrast bolus timing, coronary veins can be depicted with excellent detail on CT. Knowledge of variant coronary venous anatomy can sometimes play a role in pre-procedural planning. Analysis of the coronary venous anatomy on CT can detect coronary venous anomalies that cause right to left shunts with risk of stroke, left to right shunts, and arrhythmias.
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Sirajuddin et al. (2019) conducted a review in Coronary venous anomalies. CT imaging of coronary venous anatomy was evaluated. Analysis of coronary venous anatomy on CT can detect coronary venous anomalies that cause right-to-left shunts, left-to-right shunts, and arrhythmias.
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