Imaging of congenital coronary anomalies with multislice computed tomography.
OBJECTIVE
To describe a single-center experience of using retrospectively gated multislice computed tomographic (MSCT) coronary angiography for imaging congenital coronary anomalies.


METHODS
We retrospectively reviewed the clinical information and imaging studies for 9 patients diagnosed as having congenital coronary anomalies on invasive, selective coronary angiography between February 2001 and October 2003 at the Mayo Clinic in Jacksonville, Fla. Two experienced observers classified by consensus the origin and proximal course of the abnormal coronary arteries as seen on MSCT.


RESULTS
In 1 patient, MSCT showed a normal but extremely anterior origin of the right coronary artery from the right aortic sinus of Valsalva. In the other 8 patients, the origin and course of 4 anomalous right coronary arteries, 2 anomalous left circumflex coronary arteries, and 2 single coronary arteries were recognized easily on MSCT.


CONCLUSIONS
Similar to electron beam computed tomography and magnetic resonance imaging, widely available MSCT can characterize the proximal course of congenitally abnormal coronary arteries and thus aid in clinical decision making for patients with such anomalies.
Deibler
Andrew R
AR
Department of Radiology, Mayo Clinic College of Medicine, Jacksonville, Fla 32224, USA.
Kuzo
Ronald S
RS
Vöhringer
Matthias
M
Page
E Eugene
EE
Safford
Robert E
RE
Patron
J Norman
JN
Lane
Gary E
GE
Morin
Richard L
RL
Gerber
Thomas C
TC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000209:etiology; D002317:Cardiovascular Agents / Q000627:therapeutic use; D017023:Coronary Angiography / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D004417:Dyspnea / Q000209:etiology; D005260:Female; D005431:Florida; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D018579:Patient Selection; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D036542:Tomography, Spiral Computed / Q000295:instrumentation / Q000379:methods* / Q000592:standards
D002317:Cardiovascular Agents