Document Detail

Congenital coronary artery anomalies in the adult: a new practical viewpoint.
MedLine Citation:
PMID:  15757074     Owner:  NLM     Status:  MEDLINE    
There is a certain confusion as to the universal classification of coronary artery anomalies (CAAs), since the existing classifications are often fragmented and difficult to apply as they combine many anatomical, angiographic, and clinical elements. A practical global classification of CAAs for diagnostic and clinical purposes has not been proposed previously. The authors propose to describe CAAs on the basis of seven angiographic patterns (1: hypoplasia/atresia, 2: hyperdominance, 3: fistula, 4: originating from other arteries, 5: originating from the wrong sinus, 6: splitting, and 7: tunneling) and four clinical significance classes (benign--class A, relevant--class B, severe--class C, and critical--class D). This global classification can be applicable to almost all significantCAAs, and in the authors' view it might help both angiographers and clinical cardiologists to familiarize themselves rapidly with a comprehensive description of most CAAs by simplifying the transmission of the angiographic data.
Gianluca Rigatelli; Giorgio Rigatelli
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical cardiology     Volume:  28     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-10     Completed Date:  2005-06-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  61-5     Citation Subset:  IM    
Department of Special Medicine, Division of Cardiology, Mater Salutis Legnago General Hospital, Verona, Italy.
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MeSH Terms
Arterio-Arterial Fistula / radiography
Coronary Angiography
Coronary Artery Disease / etiology,  radiography
Coronary Vessel Anomalies / classification*,  complications,  radiography
Tricuspid Atresia / radiography
Comment In:
Clin Cardiol. 2005 Aug;28(8):359; author reply 359   [PMID:  16144209 ]

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