Coronary angiography and dual-source computed tomography are complementary methods in diagnosis of significant stenosis of the right coronary artery originating from the left aortic sinus

• Authors: Josef Veselka , David Zemánek , Radka Duchoňová , Peter Blaško , Theodor Adla , David Tesař , Jiří Neuwirth
• Languages of publication: EN

Abstracts

EN

Anomalous origin of the right coronary artery from the contralateral aortic sinus is a rare but potentially fatal congenital abnormality. We analyzed 8.066 consecutive coronary angiograms and found 4 cases demonstrating this anomaly. In 2 cases the right coronary artery was without significant atherosclerotic lesions and coursed between the aorta and pulmonary trunk. In the 2 other cases the right coronary artery was significantly stenosed. In the last case, diagnosis was based on angiographic and dual-source computed tomographic examinations. Dual-source computed tomography showed precisely the origin and course of the right coronary artery between the ascending aorta and pulmonary artery. Moreover, stenoses of the anomalous coronary artery were depicted. Subsequent coronary interventions required modification of the Amplatz left guiding catheter, which enabled a sufficient support even for coronary artery stenting. Both methods seem to be complementary in the diagnostic and therapeutic process of this coronary anomaly.

Keywords

EN

Coronary anomaly; Stent; Dual-source computed tomography; Angina; Guiding catheter

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2008
• Volume: 3
• Issue: 1
• Pages: 111-114

Dates

published

1 - 3 - 2008

online

1 - 3 - 2008

Contributors

author

Josef Veselka

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

author

David Zemánek

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

author

Radka Duchoňová

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

author

Peter Blaško

• CardioVascular Center, Department of Cardiology, University Hospital Motol, Prague, Czech Republic

author

Theodor Adla

• Department of Imaging Methods, University Hospital Motol, Prague, Czech Republic

author

David Tesař

• Department of Imaging Methods, University Hospital Motol, Prague, Czech Republic

author

Jiří Neuwirth

• Department of Imaging Methods, University Hospital Motol, Prague, Czech Republic

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Identifiers

DOI

10.2478/s11536-007-0053-z