Evidence map›Paper›PMID 27240814›Full record

ArticlePediatric radiology2016

Anomalous origin of the left coronary artery from the pulmonary artery in children: diagnostic use of multidetector computed tomography.

Quanli Shen, Qiong Yao, Xihong Hu

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Article in Pediatric radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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3 · Its place in the literature

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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Quanli ShenDepartment of Radiology, Children's Hospital of Fudan University, 399 Wanyuan St., Shanghai, 201102, China.
Qiong YaoDepartment of Radiology, Children's Hospital of Fudan University, 399 Wanyuan St., Shanghai, 201102, China.
Xihong HuDepartment of Radiology, Children's Hospital of Fudan University, 399 Wanyuan St., Shanghai, 201102, China. huxihong777@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly. It is important to demonstrate the anomalous origin of the left coronary artery and its course before surgery.

objectiveTo explore the clinical diagnostic use of multidetector CT coronary angiography in detecting anomalous origin of the left coronary artery from the pulmonary artery in children. MATERIALS AND

methodsNine children (2 boys, 7 girls) ages 2 months to 9 years with surgically confirmed anomalous origin of the left coronary artery from the pulmonary artery were studied. Clinical data, transthoracic echocardiography and CT coronary angiography images were retrospectively analyzed.

resultsTransthoracic echocardiography correctly diagnosed anomalous origin of the left coronary artery from the pulmonary artery in 7 of 9 patients (95% CI: 40-97%). CT coronary angiography revealed the anomalous origin of the left coronary artery in all children (95% CI: 66-100%). In a 4-year-old girl and a 9-year-old girl, CT coronary angiography showed dilation of the right coronary artery and collateral circulation between the right and the left coronary arteries.

conclusionCT coronary angiography is a useful method to show the anomalous origin of the coronary artery in children with anomalous origin of the left coronary artery from the pulmonary artery, especially for patients in whom origin of the left coronary artery cannot be detected by transthoracic echocardiography.

Indexed as

Multidetector Computed TomographyChildChild, PreschoolCoronary AngiographyCoronary Vessel AnomaliesEchocardiographyFemaleHumansInfantMalePulmonary ArteryRetrospective StudiesChildrenComputed tomographyCongenital anomalyCoronary angiographyCoronary artery

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