ArticleBMC cardiovascular disorders2014
Congenital coronary anomalies detected by coronary computed tomography compared to invasive coronary angiography.
Article in BMC cardiovascular disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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Who cites it
46 citing papers in PubMed, 96 citations in OpenAlex.
- Evaluation of High-Risk Anatomical Features in Single and Opposite-Sinus Origin Coronary Artery Anomalies Using Coronary Computed Tomography Angiography.Diagnostics (Basel, Switzerland) · 2026Article
- Coronary Artery Anomalies Revisited: Description of the Types, Pathophysiology and Treatment Options Based on Latest Guidelines.Journal of clinical medicine · 2026Review
- Cardiac Arrest as the First Manifestation of Single Coronary Artery-Potential Role of FFRClinical case reports · 2026Article
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- Prevalence and characteristics of coronary anomalies in Bulgarian patients undergoing coronary angiography.BMC cardiovascular disorders · 2026Article
- Prevalence and CT angiographic evaluation of coronary artery anomalies in 20,243 consecutive patients: a retrospective study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026Article
- High-risk anatomical features: a new perspective on refined echocardiographic diagnosis of anomalous coronary artery origin from the opposite sinus.BMC medical imaging · 2026Article
- Cardiac Screening in Young Athletes: The Role of Diagnostics in Preventing Sudden Cardiac Death and Exploring Clearance Protocols.Journal of clinical medicine · 2026Review
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- AI-based detection and classification of anomalous aortic origin of coronary arteries using coronary CT angiography images.Nature communications · 2025Article
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- Clinical and CT Features, Clinical Management, and Decision on Sport Eligibility of Professional Athletes with Congenital Coronary Anomalies: A Case Series Study.Journal of cardiovascular development and disease · 2024Article
- Anomalous Origin of the Right Coronary Artery From the Pulmonary Artery: Advantages of Multimodality Imaging.Cureus · 2024Article
- Trends in Coronary Artery Anomalies Detection by Coronary Computed Tomography Angiography (CCTA): A Real-Life Comparative Study before and during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2024Article
- Casting Light on The Hidden Prevalence: A Novel Perspective on Hypoplastic Coronary Artery Disease.Journal of clinical medicine · 2024Article
- Article
- Type 4 Dual Left Anterior Descending Artery: A Case Report of a Rare Congenital Coronary Anomaly.Journal of the Korean Society of Radiology · 2024Article
- Congenital Coronary Artery Anomalies.Journal of the Korean Society of Radiology · 2024Article
- Comparison between diaphragmatic-navigated and self-navigated coronary magnetic resonance angiography at 3T in pediatric patients with congenital coronary artery anomalies.Quantitative imaging in medicine and surgery · 2024Article
- 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
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Authors and funding
13 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs coronary computed tomography angiography (CCTA) has emerged as a non-invasive alternative for evaluation of coronary anatomy with a lower referral threshold than invasive coronary angiography (ICA), the prevalence of coronary anomalies in CCTA may more closely reflect the true prevalence in the general population. Morphological features of coronary anomalies can be evaluated more precisely by CCTA than by ICA, which might lead to a higher identification of congenital coronary anomalies in CCTA compared to ICA.To evaluate the incidence, clinical and morphological features of the anatomy of patients with coronary anomalies detected either by coronary computed tomography angiography (CCTA) with prospective ECG-triggering or invasive coronary angiography (ICA).
methodsConsecutive patients underwent 64-slice CCTA (n = 1'759) with prospective ECG-triggering or ICA (n = 9'782) and coronary anatomy was evaluated for identification of coronary anomalies to predefined criteria (origin, course and termination) according to international recommendations.
resultsThe prevalence of coronary anomalies was 7.9% (n = 138) in CCTA and 2.1% in ICA (n = 203; p < 0.01). The most commonly coronary anomaly detected by CCTA was myocardial bridging 42.8% (n = 59) vs. 21.2% (n = 43); p < 0.01, while with ICA an absent left main trunk was the most observed anomaly 36.0% (n = 73; p < 0.01). In 9.4% (n = 13) of identified coronary anomalies in CCTA 9.4% were potentially serious coronary anaomalies, defined as a course of the coronary artery between aorta and pulmonary artery were identified.
conclusionThe prevalence of coronary anomalies is substantially higher with CCTA than ICA even after exclusion of patients with myocardial bridging which is more frequently found with CCTA. This suggests that the true prevalence of coronary anomalies in the general population may have been underestimated based on ICA.
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