Abstract

has limitations due to its projectional nature and invasiveness. Recently, the quality of the imaging of the main coronary arteries and side branches provided by ECG-gated multidetector row computed tomography (MDCT) may have importance when assessing congenital coronary artery anomalies. In this exhibit, we present ECG-gated MDCT findings of various coronary anomalies including abnormal origin and number of coronary arteries, abnormal courses such as intramural course and myocardial bridging, abnormal termination such as coronary artery fistula and coronary aneurysm. These images provide persuasive evidence to support clinical use of MDCT cardiac imaging in the context of suspected congenital coronary artery anomalies as a first line investigation.

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