Key result
ECG-gated MDCT provides useful non-invasive evaluation of adult congenital coronary anomalies.
MDCT provides a valuable non-invasive method for assessing congenital coronary artery anomalies, offering three-dimensional visualization superior to conventional angiography.
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MDCT supports non-invasive CCA evaluation; leaves open prospective validation before changing practice.
Congenital coronary anomalies (CCAs) are uncommon but can cause sudden cardiac death or other symptoms of myocardial ischaemia, especially in young healthy subjects. Conventional coronary angiography (CA) is an invasive and expensive procedure, and cannot provide three-dimensional data on the anomalous vessel. Electrocardiographic gated multidetector CT (MDCT) has been reported to be useful for non-invasive evaluation of CCAs. The purpose of this pictorial review is to discuss and illustrate different CCAs in terms of clinical importance, type and manifestations using MDCT. Knowledge of the CT appearances and an understanding of the clinical significance of these anomalies are essential for making the correct diagnosis and planning patient treatment.
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Zeina et al. (2009) conducted a review in Congenital coronary anomalies. Multidetector CT (MDCT) vs. Conventional coronary angiography was evaluated. Electrocardiographic gated multidetector CT is a useful non-invasive imaging modality for evaluating the clinical importance, type, and manifestations of congenital coronary anomalies in adults.
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