05 December 2015 : Case report
Use of CT Angiogram in Interventions Involving Coronary Artery Anomalies: A Case Series
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Dwarakanath RameshB, Huliyurdurga S. Setty Natraj SettyA, Veeresh PatilE, Kumar SwamyC, Sunil KumarF, Guruprasad GuruprasadF, Cholenahalli Nanjappa ManjunathDDOI: 10.12659/AJCR.894107
Am J Case Rep 2015; 16:858-862
Abstract
BACKGROUND: Coronary artery anomalies are rare, accounting for about 0.3–1.3% of patients undergoing diagnostic coronary angiography. Interventions in these cases are still rare, and therefore pose technical challenges during intervention. CT Angiography provides a non-invasive means of assessment of coronary artery disease and also shows the anatomy of the coronary tree. This helps in knowing the origin of the coronaries and also to plan selection of hardware. There are no specific guidelines for use of guiding catheters and guide wires in anomalous coronary artery intervention.
CASE REPORT: We report a series of 5 patients presenting with effort angina who had anomalous coronary arteries with coronary stenosis diagnosed by CT angiography. Three patients received percutaneous intervention, 1 patient underwent CABG, and 1 patient received medical management.
CONCLUSIONS: CT Angiography provides a useful tool for showing the coronary anatomy and for selecting the guiding catheter and the guide wire that remain the mainstay of interventions in coronary artery anomalies.
Keywords: Coronary Angiography - methods, Coronary Vessel Anomalies - surgery, Coronary Vessels - surgery, Diagnosis, Differential, Percutaneous Coronary Intervention - methods, Tomography, X-Ray Computed - methods
In Press
Case report
Rare Case of Disseminated Histoplasmosis Mitral Valve Endocarditis in FloridaAm J Case Rep In Press; DOI: 10.12659/AJCR.943306
Case report
A Minimally Invasive Approach for Laparoscopic-Perineal Sigmoid Colpoplasty: Case Report and InnovationsAm J Case Rep In Press; DOI: 10.12659/AJCR.943305
Case report
Morbihan Disease: A Rare Case of Periorbital Bilateral Edema with Histopathological Findings of Chronic Inf...Am J Case Rep In Press; DOI: 10.12659/AJCR.943421
Case report
Lung Lesions: Differential Diagnoses Beyond CancerAm J Case Rep In Press; DOI: 10.12659/AJCR.943798
Most Viewed Current Articles
07 Mar 2024 : Case report 37,851
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report 31,022
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report 17,658
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report 17,505
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250