title: [Role of multidetector CT scan in the diagnosis of congenital coronary artery anomalies with inter-aortopulmonary course: about two cases and literature review].
abstract: Coronary anomalies are a rare entity. The gold standard remains the coronary angiogram. However, the identification of the origin and the course of aberrant coronary arteries using angiography may be difficult. We report two cases regarding two patients who underwent coronary angiography in order to evaluate coronary heart disease. In the first case, angiography has shown a left anterior descending artery (LAD) originating from the right anterior sinus. A multidetector CT scan (MDCT) showed an inter-aortopulmonary course of the LAD. In the second case, selective catheterization of the right coronary artery could not be done. A MDCT scan was performed. An abnormal origin of the right coronary artery was detected. It originates from the left sinus with a separate ostium of the left main coronary artery. This artery had an inter-aortopulmonary course. The 64 MDCT scan can be useful as a complementary tool for the diagnosis of coronary artery anomalies. Detection of the inter-aortopulmonary course is essential, since this situation will require surgical treatment to avoid sudden cardiac death.
authors.affiliation: Service de cardiologie, hôpital universitaire Mongi Slim La Marsa, 2046 Sidi Daoud, Tunisie; Université de Tunis El Manar, Tunis, Tunisie.
authors.forename: W
authors.initials: W
authors.lastname: Sdiri
authors.forename: H
authors.initials: H
authors.lastname: Ben Slima
authors.forename: H
authors.initials: H
authors.lastname: Mizouni
authors.forename: H
authors.initials: H
authors.lastname: Ben Ahmed
authors.forename: E
authors.initials: E
authors.lastname: Menif
authors.forename: M R
authors.initials: MR
authors.lastname: Boujnah
mesh_terms: D017023:Coronary Angiography / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D048909:Diabetes Complications / Q000000981:diagnostic imaging; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D010359:Patient Readmission; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012850:Sinus of Valsalva / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D012907:Smoking / Q000009:adverse effects; D015607:Stents