Zeina A R, Blinder J, Sharif D, Rosenschein U, Barmeir E
Department of Radiology and MAR Imaging Institute, Bnai Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel.
Br J Radiol. 2009 Mar;82(975):254-61. doi: 10.1259/bjr/80369775. Epub 2008 Nov 11.
Congenital coronary anomalies (CCAs) are uncommon but can cause sudden cardiac death or other symptoms of myocardial ischaemia, especially in young healthy subjects. Conventional coronary angiography (CA) is an invasive and expensive procedure, and cannot provide three-dimensional data on the anomalous vessel. Electrocardiographic gated multidetector CT (MDCT) has been reported to be useful for non-invasive evaluation of CCAs. The purpose of this pictorial review is to discuss and illustrate different CCAs in terms of clinical importance, type and manifestations using MDCT. Knowledge of the CT appearances and an understanding of the clinical significance of these anomalies are essential for making the correct diagnosis and planning patient treatment.
先天性冠状动脉异常（CCAs）并不常见，但可导致心源性猝死或其他心肌缺血症状，尤其是在年轻健康人群中。传统冠状动脉造影（CA）是一种侵入性且昂贵的检查方法，并且无法提供异常血管的三维数据。据报道，心电图门控多层螺旋CT（MDCT）有助于对CCAs进行无创评估。本图谱综述的目的是使用MDCT，从临床重要性、类型和表现等方面讨论并阐述不同的CCAs。了解CT表现以及理解这些异常的临床意义对于做出正确诊断和规划患者治疗至关重要。
