Academic literature on the topic 'Coronary vessels anomalies'

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Journal articles on the topic "Coronary vessels anomalies"

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Pasaoglu, Lale, Ugur Toprak, Emre Nalbant, and Gokhan Yagiz. "A Rare Coronary Artery Anomaly: Origin of All Three Coronary Arteries from the Right Sinus of Valsalva." Journal of Clinical Imaging Science 5 (April 30, 2015): 25. http://dx.doi.org/10.4103/2156-7514.156137.

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Left anterior descending (LAD) artery and left circumflex (LCx) coronary artery originating separately from the right sinus of valsalva is exceptionally rare and very few cases have been reported in the literature. Congenital coronary artery anomalies are generally incidental, uncommon, and asymptomatic. Some can cause severe potentially life-threatening symptoms such as myocardial ischemia and sudden cardiac death. The aberrant vessels that pass between the aorta and the pulmonary trunk pose a risk of sudden cardiac death, particularly if the vessel supplies the left coronary artery network. The electrocardiographically gated multi-detector computed tomography (MDCT) allows accurate and non-invasive depiction of coronary artery anomalies including origin, course, and termination. We report here a rare case of all three coronary arteries separately originating from the right coronary sinus, which was detected with MDCT.
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Coppi, Francesca, Sara Roversi, Enrico Giuliani, Raffaele Sansone, Giuseppe Massimo Sangiorgi, Maria Grazia Modena, and Alberto Barbieri. "Circumflex Coronary Artery Agenesis Associated With Thoracic Great Vessels Anomalies." Journal of Thoracic Imaging 26, no. 1 (February 2011): W9—W11. http://dx.doi.org/10.1097/rti.0b013e3181e35a9e.

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Çanga, Yiğit, Tolga S. Güvenç, Mehmet B. Karataş, Ali N. Çalık, Tolga Onuk, Veysel O. Tanık, Barış Güngör, and Osman Bolca. "Congenital coronary artery anomalies in adults: review of 111 cases from a single-centre experience." Cardiology in the Young 27, no. 6 (November 15, 2016): 1041–50. http://dx.doi.org/10.1017/s1047951116001906.

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AbstractBackgroundCoronary artery anomalies are a heterogeneous group of congenital disorders presenting with a wide spectrum of symptoms, ranging from vague chest pain to sudden cardiac death. Despite available data, there is no consensus about the classification, nomenclature, and outcomes of coronary anomalies in the normally connected heart. In this study, we aimed to investigate clinical and angiographic characteristics of coronary arterial anomalies, as well as the frequency of atherosclerotic involvement in anomalous coronaries, diagnosed at a tertiary referral centre.MethodsWe retrospectively reviewed coronary angiograms performed between 2011 and 2015 for the presence of a coronary anomaly. A total of 111 patients with a final diagnosis of coronary anomaly were included in the study group. We also recruited 110 age- and sex-matched patients who underwent coronary angiography because of symptomatic coronary artery disease as controls.ResultsAmong 36,893 coronary angiograms, 111 (0.30%) major coronary anomalies were found. Compared with controls, the prevalence of significant atherosclerotic coronary disease was lower in patients with coronary anomalies and stable symptoms (p=0.02); however, the prevalence of significant coronary atherosclerosis was similar among patients admitted with unstable angina or myocardial infarction (p>0.05). Compared with controls, patients with an anomalous left anterior descending coronary artery had significantly less atherosclerotic involvement than those in whom the left anterior descending artery was not anomalous (p=0.005).ConclusionsAlthough coronary artery anomalies are cited as a cause for myocardial ischaemia, atherosclerotic coronary artery disease is also frequent and may offer an alternative explanation to ischaemic symptoms. No predisposition to accelerated atherosclerosis was found, however, and atherosclerotic involvement was less frequent in some anomalous vessels.
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Ono, Yoshikazu, Takaya Hoashi, Kenichi Kurosaki, and Hajime Ichikawa. "Successful Staged Repair for Truncus Arteriosus With Anomalous Arch Vessels and Left Coronary Artery." World Journal for Pediatric and Congenital Heart Surgery 10, no. 5 (September 2019): 643–44. http://dx.doi.org/10.1177/2150135119857705.

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A patient was born with truncus arteriosus type 2, left aortic arch, anomalous origin of arch vessels, left coronary artery from the right common carotid artery, and multiple extracardiac anomalies. Surgery involving translocation of the left coronary artery to the truncal root, division of branch pulmonary arteries from the truncal artery, and right ventricle-to-branch pulmonary arteries conduit placement was performed at the age of four months. Closure of the ventricular septal defect using a one-way fenestrated patch and conduit upsizing was performed successfully when the patient reached four years of age.
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Duarte, S. B. C. P., D. O. Beraldo, L. A. M. Cesar, A. P. Mansur, and J. Y. Takada. "Anomalous Coronary Artery Origin in a Young Patient with Marfan Syndrome." Case Reports in Cardiology 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/3861923.

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Marfan syndrome is an autosomal dominant genetic disorder that affects connective tissue and is caused by mutations in the fibrillin 1 gene present at chromosome 15. Aortic aneurysm is its main complication, and along the dilation of the aorta root and its descending portion (60–100%), with secondary aortic insufficiency, it increases risk of acute aortic dissection and death. Coronary artery anomalies affect between 0.3% and 1.6% of the general population and are the second leading cause of sudden death in young adults, especially if the anomalous coronary passes through aorta and pulmonary artery. The anomalous origin of the left main coronary artery in the right Valsalva sinus has a prevalence of 0.02%–0.05% and is commonly related to other congenital cardiac anomalies, such as transposition of great vessels, coronary fistulas, bicuspid aortic valve, and tetralogy of Fallot. Its association with Marfan syndrome is not known, and there is no previous report in the literature. We describe here a case of a female with Marfan syndrome diagnosed with symptomatic anomalous origin of the left coronary artery in the right Valsalva sinus.
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Mahla, Rakesh, Himanshu Mahla, Dinesh Choudhary, and Pintu Nahata. "Percutaneous Coronary Intervention in Single Coronary Artery from Right Sinus: Radial Route is Right." Journal of Clinical Imaging Science 5 (November 30, 2015): 65. http://dx.doi.org/10.4103/2156-7514.170735.

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We present percutaneous coronary intervention (PCI) using radial approach in a rare case of single coronary artery originating from the right sinus. Although these anomalies and stenosis of anomalous vessels have been described previously, treatment of atherosclerotic lesions by PCI has rarely been reported. There is a definite procedural risk during PCI in patients with a single ostium because dissection with the guiding catheter would result in a catastrophic event. Additionally, technical difficulties may occur due to the ostial configuration and course of the branch to be stented. The patient suffered an acute coronary syndrome-inferior wall STEMI, and was thrombolysed elsewhere within a window period of 4 h. He had post myocardial infarction (MI) angina and was referred to our center after 3 days of thrombolysis. We present this technically challenging and rare case in which PCI of right coronary artery was performed through the radial route.
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Friedman, Alan H., Mark A. Fogel, Paul Stephens, Jeffrey C. Hellinger, David G. Nykanen, James Tweddell, Timothy F. Feltes, and Jonathan J. Rome. "Identification, imaging, functional assessment and management of congenital coronary arterial abnormalities in children." Cardiology in the Young 17, S4 (September 2007): 56–67. http://dx.doi.org/10.1017/s1047951107001163.

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AbstractThe coronary arteries, the vessels through which both substrate and oxygen are provided to the cardiac muscle, normally arise from paired stems, right and left, each arising from a separate and distinct sinus of the aortic valve. The right coronary artery runs through the right atrioventricular groove, terminating in the majority of instances in the inferior interventricular groove. The main stem of the left coronary artery bifurcates into the anterior descending, or interventricular, and the circumflex branches. Origin of the anterior descending and circumflex arteries from separate orifices from the left sinus of Valsalva occurs in about 1% of the population, while it is also frequent to find the infundibular artery arising as a separate branch from the right sinus of Valsalva.Anomalies of the coronary arteries can result from rudimentary persistence of an embryologic coronary arterial structure, failure of normal development or normal atrophy as part of development, or misplacement of connection of a an otherwise normal coronary artery. Anomalies, therefore, can be summarized in terms of abnormal origin or course, abnormal number of coronary arteries, lack of patency of the orifice of coronary artery, or abnormal connections of the arteries.Anomalous origin of the left coronary artery from the pulmonary trunk occurs with an incidence of approximately 1 in 300,000 children. The degree of left ventricular dysfunction produced likely relates to the development of collateral vessels that arise from the right coronary artery, and provide flow into the left system. Anomalous origin of either the right or the left coronary artery from the opposite sinus of Valsalva can be relatively innocuous, but if the anomalous artery takes an interarterial course between the pulmonary trunk and the aorta, this can underlie sudden death, almost invariably during or immediately following strenuous exercise or competitive sporting events. Distal anomalies of the coronary arteries most commonly involve abnormal connections, or fistulas, between the right or left coronary arterial systems and a chamber or vessel.We discuss the current techniques available for imaging these various lesions, along with their functional assessment, concluding with a summary of current strategies for management.
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Aleksandric, Srdjan, Sinisa Stojkovic, Miloje Tomasevic, Jelena Kostic, Marko Banovic, Nemanja Menkovic, and Miodrag Ostojic. "Primary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra." Srpski arhiv za celokupno lekarstvo 141, no. 3-4 (2013): 223–27. http://dx.doi.org/10.2298/sarh1304223a.

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Introduction. Congenital anomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. Case Outline. We report the case of a 48-year-old man suffering from acute inferoposterior-wall ST elevation myocardial infarction successfully treated by primary percutaneous coronary intervention. Ten years ago, the patient had undergone coronary artery bypass graft surgery with the implantation of two arterial grafts - left and right internal mammary arteries on both left anterior descending and right coronary artery. After several attempts to canulate truncus brachiocephalicus, angiogram revealed the left aortic arch with the aberrant right subclavian artery. To our knowledge, this is the first described case of primary percutaneous coronary intervention via the aberrant right subclavian artery and right internal mammary artery graft with stent implantation in the infarct related lesion of the distal segment of right coronary artery. Subsequent 64-multidetector computed tomography confirmed the angiographic findings. Conclusion. Early recognition of congenital anomalies of the aortic arch and its great vessels, even before coronary artery bypass graft surgery, could be crucial for the urgent and successful treatment of patients with life-threatening conditions, such as ST segment elevation myocardial infarction.
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Slim, Ahmad, John Thurlow, Jennifer Blevins, Shaun Martinho, and Brian Markelz. "Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations." Case Reports in Medicine 2009 (2009): 1–3. http://dx.doi.org/10.1155/2009/509064.

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This is the case of an 18 year old active duty soldier with symptoms of exertional chest pressure and syncope who was found to have anomalous origin of the left main coronary artery (LMCA) from the right coronary cusp (RCC) traveling partially between the great vessels before taking a septal approach between the left ventricular outflow tract (LVOT) and the right ventricular outflow tract (RVOT). Anomalous origin of coronary arteries is a rare condition that carries an increased risk of angina, myocardial ischemia, and sudden cardiac death (SCD). Surgical treatment of such anomalies with both high and lower risk features can be challenging, and traditional benefit from surgical correction may not be achieved due to complex anatomy. As evident by our patient, this rare condition even though benign from sudden death standpoint could be debilitating despite best efforts and available resources.
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Jaswal, Vivek, Shyam Kumar Singh Thingnam, Vikas Kumar, Ruchit Patel, Ganesh Kumar Munirathinam, and Dheemta Toshkhani. "A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery." Journal of Cardiovascular and Thoracic Research 13, no. 1 (December 23, 2020): 87–89. http://dx.doi.org/10.34172/jcvtr.2020.61.

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Tetralogy of Fallot (TOF) with unilateral absence of pulmonary artery and the anomalous coronary artery is a rare combination. Detailed preoperative evaluation of coronary artery anatomy is must to prevent injury to the major vessels crossing right ventricular outflow tract. We report a rare association of single coronary artery with left circumflex artery crossing right ventricular outflow tract close to the pulmonary annulus in tetralogy of Fallot with absent left pulmonary artery in 11-year-old girl. Though there is a great diversity of coronary anomalies in tetralogy of Fallot, the prepulmonic course of left circumflex artery crossing the right ventricular outflow tract (RVOT) close to the pulmonary annulus has rarely been described in the literature. The patient underwent successful primary single lung intracardiac repair. Right ventricular outflow tract obstruction was treated by handmade valved pericardial autologous conduit and release of the tethering of hypoplastic native unicuspid pulmonary valve leaflet maintaining its integrity.
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Dissertations / Theses on the topic "Coronary vessels anomalies"

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Wikenheiser, Jamie Christopher. "Altered Hypoxia-Inducible Factor-1 Alpha Levels Correlate with Coronary Artery Anomalies." Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1216218122.

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Books on the topic "Coronary vessels anomalies"

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Paolo, Angelini, and Fairchild Virginia D, eds. Coronary artery anomalies: A comprehensive approach. Philadelphia: Lippincott Williams & Wilkins, 1999.

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Coronary Artery Anomalies: A Comprehensive Approach. Lippincott Williams & Wilkins, 1999.

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Tomanek, Robert J., Adriana A. Silva Pires-Gomes, and José Maria Pérez-Pomares. The development of coronary vascularization. Edited by José Maria Pérez-Pomares, Robert G. Kelly, Maurice van den Hoff, José Luis de la Pompa, David Sedmera, Cristina Basso, and Deborah Henderson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198757269.003.0021.

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The coronary vascular system is a complex network of arteries, veins, and capillaries that supports myocardial performance, a topic previously reviewed by other authors. Disruption of coronary blood vessel form and/or function can underlie severe congenital and acquired cardiovascular conditions, from myocardial infarction to sudden death. Coronary blood vessels are an evolutionary innovation of vertebrates and form from multiple cell sources. Accordingly, the developmental complexity of coronary vessel morphogenesis is likely to reflect evolutionary constraints, as well as to explain the origins of coronary congenital anomalies (CCAs). In this chapter we summarize the current knowledge on coronary vascular development and identify the essential mechanistic cellular and molecular components of coronary morphogenesis. We will also provide plausible developmental explanations for some relevant CCAs.
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Picano, Eugenio, Fausto Pinto, and Blazej Michalski. Ischaemic heart disease: coronary artery anomalies. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198726012.003.0030.

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Coronary anomalies occur in less than 1% of the general population and their clinical presentation can range anywhere from a benign incidental finding to the cause of sudden cardiac death. Since congenital coronary arteries anomalies are often considered as the first cause of cardiac death in young athletes in Europe, careful attention has to be paid in this specific subpopulation in case of suggestive symptoms. Although focused expert echocardiography is the first-line imaging tool, coronary computed tomography or radiation-free magnetic resonance imaging are recommended for more definitive definition of the coronary course in persons suspected of having coronary artery anomalies. Most coronary anomalies belong to the group of anomalous origin. Aneurysms are defined as dilations of a coronary vessel 1.5 times the normal adjacent coronary artery segment. Coronary artery fistulas are communications between one or more coronary arteries and a cardiac chamber (coronary-cameral), the pulmonary artery, or a venous structure (such as the sinus or superior vena cava).
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Book chapters on the topic "Coronary vessels anomalies"

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Nguyen, Anita, Ramachandra C. Reddy, and Hartzell V. Schaff. "Coronary anomalies." In State of the Art Surgical Coronary Revascularization, edited by Naresh Trehan and Yasir Abu-Omar, 435–40. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198758785.003.0075.

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Anomalous coronary arteries are relatively common, occurring in approximately 1.3% of the general population. Most variants of anomalous coronary arteries do not cause disability and have a benign course. Surgery is warranted to alleviate symptoms. However, some anomalies, such as a left coronary artery arising from the right sinus of Valsalva and passing between the great vessels or anomalous left coronary artery arising from the pulmonary artery, are considered malignant as they have been associated with sudden cardiac death or heart failure, and in these cases, surgery is indicated. Coronary artery fistulas are abnormal communications between a coronary artery and another cardiovascular structure. They are relatively rare, and surgical or transcatheter closure may be necessary in patients with large left-to-right shunts and/or regional myocardial ischaemia.
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Prieto, Claudia, René M. Botnar, Hajime Sakuma, Masaki Ishida, and Marcus R. Makowski. "Coronary imaging." In The EACVI Textbook of Cardiovascular Magnetic Resonance, edited by Massimo Lombardi, Sven Plein, Steffen Petersen, Chiara Bucciarelli-Ducci, Emanuela R. Valsangiacomo Buechel, Cristina Basso, and Victor Ferrari, 164–76. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198779735.003.0019.

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Due to its high soft tissue contrast, high spatial resolution, and lack of ionizing radiation, cardiovascular magnetic resonance (CMR) is a promising imaging modality for non-invasive imaging of the coronary arteries. However, because of the high spatial resolution and large coverage required for visualization of the coronary arteries, scan times are relatively long. This can result in imaging artefacts from cardiac and respiratory motion. Usually, coronary CMR is therefore performed with respiratory and cardiac compensation methods. CMR has shown promising results for the detection of coronary stenosis, when compared against invasive and computed tomography coronary angiography, but in clinical practice, CMR is more often used to define the course of anomalous coronary arteries and for the detection and tracking of coronary artery aneurysms. CMR also allows imaging of the coronary vessel wall and coronary plaque imaging, as well as the detection of coronary thrombus. These emerging methods may have a future role in risk stratification of patients with known or suspected coronary artery disease.
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Conference papers on the topic "Coronary vessels anomalies"

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Wake, Amanda K., John C. Gore, and J. Christopher Gatenby. "Characterizing Flow in the Vertebro-Basilar System Using MR in Conjunction With Subject-Specific Computational Models." In ASME 2010 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2010. http://dx.doi.org/10.1115/sbc2010-19286.

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Coronary artery bypass graft failure is often a consequence of intimal hyperplasia (IH), which correlates with hemodynamic factors (e.g., wall shear stress); this relationship has been used to evaluate arterial graft design [e.g., 1–4]. The vertebro-basilar system is a native arterial merge (i.e., two arteries, the vertebrals, converge into a single artery, the basilar artery); thus, characterizing the flow field of this system in healthy subjects could be useful for early detection of anomalies (e.g., aneurysms) or for vascular graft design improvements to ensure graft/vessel patency. This study uses high field MR and phase contrast MR (PCMR) to investigate the hemodynamics of the vertebro-basilar system in a healthy, adult subject for predicting pathophysiologically-relevant flow patterns (e.g., low wall shear stress) that are related to IH and subsequent graft failure.
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