ArticleEuropean radiology2014
Anomalous origin of the coronary artery from the wrong coronary sinus evaluated with computed tomography: "high-risk" anatomy and its clinical relevance.
Article in European radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 30 citations in OpenAlex.
- Anomalous Origin of Left Circumflex Artery from the Right Sinus of Valsalva in Cardiac Computed Tomography in a Group of 16,680 Patients-Radiologic and Clinical Characteristics.Journal of clinical medicine · 2023Article
- Clinical analysis of sixty-nine children with anomalous aortic origin of the coronary artery.European journal of pediatrics · 2023Article
- Anomalous origin of left circumflex artery from the right sinus of Valsalva: Clinical outcomes in a consecutive series of master athletes.Clinical cardiology · 2023Article
- Long-term patency of rescue stenting of an anomalous left circumflex coronary artery after transcatheter aortic valve replacement.Proceedings (Baylor University. Medical Center) · 2023Article
- Evaluation of the Ostium in Anomalous Origin of the Right Coronary Artery with an Interarterial Course Using Dynamic Cardiac CT and Implications of Ostial Findings.Korean journal of radiology · 2022Article
- Anomalous Coronary Arteries: When to Follow-up, Risk Stratify, and Plan Intervention.Current cardiology reports · 2021Review
- Diagnosis and prognostic significance of anomalous origin of coronary artery from the opposite sinus of Valsalva assess by dual-source coronary computed tomography angiography.International journal of cardiology. Heart & vasculature · 2021Article
- Prognostic value of dual-source computed tomography (DSCT) angiography characteristics in anomalous coronary artery from the opposite sinus (ACAOS) patients: a large-scale retrospective study.BMC cardiovascular disorders · 2020Article
- Automatic Detection of the Aortic Annular Plane and Coronary Ostia from Multidetector Computed Tomography.Journal of interventional cardiology · 2020Article
- Significant incidental cardiac disease on thoracic CT: what the general radiologist needs to know.Insights into imaging · 2019Review
- Anatomical variants and coronary anomalies detected by dual-source coronary computed tomography angiography in North-eastern Thailand.Polish journal of radiology · 2018Article
- Anomalous origin of the coronary artery arising from the opposite sinus: prevalence and outcomes in patients undergoing coronary CTA.European heart journal. Cardiovascular Imaging · 2017Article
- Coronary arteries anomalous aortic origin on a computed tomography angiography population: prevalence, characteristics and clinical impact.The international journal of cardiovascular imaging · 2016Observational
- [Drowning versus cardiac ischemia: Cardiac arrest of an 11-year-old boy at a swimming lake].Der Anaesthesist · 2015Article
- Cardiac CT in an aberrant right coronary artery.BMJ case reports · 2015Article
- Anomalous origin of the right coronary artery with an interarterial course and intramural part.International journal of surgery case reports · 2015Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of the study was to assess coronary arteries arising from the wrong coronary sinus, including CT-evaluated high-risk anatomic features, clinical symptoms and cardiac events during follow-up.
methodsA total of 7,115 patients scheduled for 64-slice or dual-source cardiac CT were screened for the presence of isolated anomalous origin of the coronary artery from the wrong coronary sinus.
resultsAnomalous origin of the coronary artery was found in 54 (0.76 %) patients (29 men, 25 women, mean age 60.9 ± 11.6 years). Sixteen (30 %) patients with abnormal right coronary origin (ARCA) more commonly had a slit-like orifice (15 vs. 3; p < 0.001), intramural course (15 vs. 3; p < 0.001) and interarterial course (11 vs. 0; p < 0.001) than 22 (41 %) and 13 (24 %) individuals with abnormal circumflex artery (ALCx) and left coronary artery (ALCA) origin, respectively. Patients with ALCA presented less frequently with chest pain than subjects with ARCA and ALCx (25 vs. 3; p = 0.03). Patients with ARCA tended to show higher occurrence of cardiac events in the follow-up than individuals with ALCA and ALCx (5 vs. 4; p = NS).
conclusionsHigh-risk anatomy features are most common in patients with ARCA and these patients also have higher prevalence of chest pain and cardiac events in the follow-up than individuals with ALCA and ALCx. KEY POINTS: • Multislice computed tomography enables detection and evaluation of the coronary artery anomalies. • Anomalous anatomy of the coronary artery potentially influences the prevalence of adverse events. • Adverse events tend to be most common in anomalous right coronary arteries.
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