Images in cardiovascular medicine. Anomalous coronary arteries by electron beam angiography.

Abstract

HomeCirculationVol. 107, No. 20Anomalous Coronary Arteries by Electron Beam Angiography Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUBAnomalous Coronary Arteries by Electron Beam Angiography Wei Li, MD, PhD, Colin Ferrett, MD and Michael Henein, MD, PhD Wei LiWei Li From Royal Brompton & Harefield NHS Trust (W.L., M.H.), and the European Scanning Clinic (C.F.), London, UK. Search for more papers by this author , Colin FerrettColin Ferrett From Royal Brompton & Harefield NHS Trust (W.L., M.H.), and the European Scanning Clinic (C.F.), London, UK. Search for more papers by this author and Michael HeneinMichael Henein From Royal Brompton & Harefield NHS Trust (W.L., M.H.), and the European Scanning Clinic (C.F.), London, UK. Search for more papers by this author Originally published27 May 2003https://doi.org/10.1161/01.CIR.0000067883.19068.46Circulation. 2003;107:2630Electron beam tomography (EBT) has been widely used for the assessment of coronary calcification, particularly in patients at risk of coronary artery disease. EB angiography (EBA) has shown significant sensitivity in confirming coronary arterial narrowing involving the proximal and mid-vessel segments. The main advantage of this new imaging technique is its ability to demonstrate the arterial tree, including the coronary arteries, using single breath-hold acquisition while infusing intravenous contrast agent. It does not require a large dose of x-ray radiation exposure followed by a long recumbency for arterial healing, as does conventional coronary angiography. EBA also avoids possible claustrophobic effects of closed tube imaging used by other noninvasive techniques. We present a new application of this technique in patients with anomalous coronary arteries. In 6 patients with congenital anomalous coronary arteries, all coronary artery origins and courses were clearly demonstrated. An example is presented (Figure 1) that shows the left anterior descending artery originating from the main pulmonary artery trunk and the right coronary artery originating normally from the aorta. The circumflex artery also branches off the right coronary artery (Figure 2). EBA may serve as a noninvasive diagnostic technique in different cardiac and non-cardiac arterial diseases. Download figureDownload PowerPointFigure 1. Three-dimensional reconstruction EBA image of the heart and coronary arteries demonstrating anomalous left anterior descending artery originating from the pulmonary artery. LAD indicates left anterior descending artery; RCA, right coronary artery.Download figureDownload PowerPointFigure 2. Three-dimensional reconstruction EBA image showing anomalous origin of circumflex artery from right coronary artery. Cx indicates circumflex artery; LAD, left anterior descending artery; and RCA, right coronary artery.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke’s Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.FootnotesCorrespondence to Dr Michael Henein, Senior lecturer and Hon. consultant in cardiology/Echocardiography, Imperial College, London University and Royal Brompton Hospital, Sydney St, London SW3, 6NP, UK. E-mail M [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Budoff M (2015) Computed Tomograph Cardiovascular Imaging Coronary Artery Disease, 10.1007/978-1-4471-2828-1_14, (339-364), . (2009) Anomalous coronary arteries Congenital Heart Defects, 10.1007/978-3-7985-1719-6_25, (176-183), . Budoff M (2007) Computed Tomographic Cardiovascular Imaging Cardiovascular Medicine, 10.1007/978-1-84628-715-2_8, (181-202), . Beier U, Jelnin V, Jain S and Ruiz C (2006) Cardiac computed tomography compared to transthoracic echocardiography in the management of congenital heart disease, Catheterization and Cardiovascular Interventions, 10.1002/ccd.20817, 68:3, (441-449), Online publication date: 1-Sep-2006. Angelini P and Flamm S (2004) Nebulous Imaging, Circulation, 109:2, (e9-e9), Online publication date: 20-Jan-2004. van Ooijen P, Dorgelo J, Zijlstra F and Oudkerk M (2004) Detection, visualization and evaluation of anomalous coronary anatomy on 16-slice multidetector-row CT, European Radiology, 10.1007/s00330-004-2493-z, 14:12, (2163-2171), Online publication date: 1-Dec-2004. May 27, 2003Vol 107, Issue 20 Advertisement Article InformationMetrics https://doi.org/10.1161/01.CIR.0000067883.19068.46PMID: 12777320 Originally publishedMay 27, 2003 PDF download Advertisement