Document Detail

Diagnosis and management of anomalous origin of the right coronary artery from the left coronary sinus.
MedLine Citation:
PMID:  10472527     Owner:  NLM     Status:  MEDLINE    
The anomalous origin of the right coronary artery (RCA) from the left sinus of Valsalva coursing between the aorta and the pulmonary artery or right ventricular outflow tract, is considered a potentially fatal abnormality which may require surgery. However, diagnosing the correct course with coronary arteriography may be difficult. Fast gradient echo magnetic resonance (MR) imaging can be helpful to identify and confirm the course of aberrant coronary arteries and their relationship to the surrounding tissue. In this study, diagnostic procedures and management are described of four patients in whom the RCA originated from the left sinus of Valsalva. Although reported as investigational by the Task Force document on MR imaging by the European Society of Cardiology we are of the opinion that MR coronary angiography may have an important future role in the assessment of anomalous coronary arteries.
M A Bekedam; H W Vliegen; J Doornbos; J W Jukema; A de Roos; E E van der Wall
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of cardiac imaging     Volume:  15     ISSN:  0167-9899     ISO Abbreviation:  Int J Card Imaging     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-10-06     Completed Date:  1999-10-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8600426     Medline TA:  Int J Card Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  253-8; discussion 259     Citation Subset:  IM    
Department of Cardiology, Free University Hospital Amsterdam, The Netherlands.
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MeSH Terms
Cardiac Surgical Procedures
Chest Pain / diagnosis,  surgery
Coronary Angiography / methods*
Coronary Vessel Anomalies / complications,  diagnosis*,  surgery*
Diagnosis, Differential
Magnetic Resonance Angiography*
Middle Aged
Pulmonary Artery / abnormalities,  radiography
Sinus of Valsalva / abnormalities*,  radiography

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