Cor Vasa 2014, 56(1):e27-e36 | DOI: 10.1016/j.crvasa.2013.10.003

Congenital coronary anomalies

Leoš Pleva^a,c,*, Tomáš Jonszta^b, Pavel Kukla^a

^a Kardiovaskulární oddělení, Fakultní nemocnice Ostrava, Ostrava, Česká republika

^b Radiodiagnostický ústav, Fakultní nemocnice Ostrava, Ostrava, Česká republika

^c Lékařská fakulta Ostravské univerzity, Ostrava, Česká republika

Background: Congenital coronary anomalies occur rarely and affect 0.3-1% of the population [1,2]. They are predominantly clinically silent and are usually diagnosed accidentally during selective coronarography for other reasons, or at autopsy. In some cases however these maybe the cause of sudden death, mainly in young individuals in association with great exertion (anomalous origin of coronary artery from the opposite coronary sinus with interarterial course).

Method: We reviewed the cathlab records and coronary multi-slice CT scans performed in the period from 2008 to 2013 in our hospital and we chose typical image findings documenting particular congenital coronary anomalies. Subsequently we reviewed the literature using the PubMed database.

Results: In our image summary, we discuss these particular anomalies and primarily their imaging documentation, using either multi-slice CT or selective coronarography, which represents the main diagnostic method for these disorders.

Conclusion: Congenital coronary anomalies are relatively rare findings; however, some of these could have significant and even fatal consequences. These disorders should be considered in selected risk population groups. Multi-slice CT coronarography seems to be the most appropriate diagnostic method with regard to the possibility of 3D imaging.

Keywords: Coronary anomaly; MS-CT coronarography

Received: July 24, 2013; Revised: October 3, 2013; Accepted: October 15, 2013; Published: February 1, 2014  Show citation