Key result
64-MDCT angiography with 3D reconstructions successfully detects malignant coronary anomalies in two ACS patients.
Case Report (n=2)
64-MDCT coronary angiography is a useful imaging modality for detecting malignant congenital coronary anomalies that may be missed on traditional coronary angiography.
Supports 64-MDCT with 3D reconstruction for detecting missed coronary anomalies in ACS; hypothesis-generating, larger studies needed before practice change.
Congenital abnormalities of coronary arteries are an uncommon cause of sudden cardiac death and are difficult to detect at coronary angiography. We describe two patients with acute coronary syndrome and non-occlusive coronary artery disease in which a 64-multidetector computed tomography (MDCT) coronary angiography showed the presence of a malignant coronary anomaly. Sixty-four-MDCT with the possibility of 3D reconstructions allows for easier diagnosis of coronary anomalies and provides essential details necessary for operative intervention.
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Tresoldi et al. (2012) conducted a case report in Acute coronary syndrome and non-occlusive coronary artery disease (n=2). 64-multidetector computed tomography (MDCT) coronary angiography was evaluated on Detection of malignant coronary anomaly. 64-multidetector computed tomography coronary angiography with 3D reconstructions successfully detected malignant coronary anomalies in two patients with acute coronary syndrome.
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