IMR Press / RCM / Volume 8 / Issue 3 / pii/1561094451067-2037814539

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Evaluation of Anomalous Aortic Origins of the Coronaries by 64-Slice Cardiac Computed Tomography
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1 Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA
2020 Division of Cardiovascular Diseases, Albert Einstein Medical Center, Philadelphia, PA
Rev. Cardiovasc. Med. 2007, 8(3), 175–181;
Published: 30 September 2007
Abstract
Approximately 20% of coronary artery anomalies produce sudden death or lifethreatening symptoms, including arrhythmias, syncope, and myocardial infarction. The most common clinical symptom of coronary artery anomaly is angina or exertional syncope. Physical examination is usually unrevealing in the absence of myocardial infarction or symptoms of ongoing ischemia. The rapid advent of cardiac computed tomography (CT) technology has made it an important adjunct to the diagnosis of coronary anomalies by angiography. The authors describe the case of a 54-year-old white man who presented with gangrenous toes. He had severe peripheral vascular disease, a femoral-popliteal bypass graft, residual hemiparesis from an ischemic stroke, hypertension, deep vein thrombosis, and a recent myocardial infarction. He underwent a 64-slice cardiac CT angiogram, which showed an interarterial course of the left main coronary artery between the aorta and the pulmonary trunk.
Keywords
Computed tomography
Anomalous aortic origins of the coronaries
Left circumflex artery
Right anterior oblique
Magnetic resonance angiography
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