作者: Jason G. Andrade , Brett G. Heilbron , Jonathon A. Leipsic
DOI: 10.1016/S0828-282X(10)70403-7
关键词: Right coronary artery 、 Medicine 、 Coronary angiography 、 Cardiology 、 Radiology 、 Cardiac imaging 、 Artery 、 Autopsy 、 Spiral computed tomography 、 Coronary artery bypass surgery 、 Invasive coronary angiography 、 Internal medicine
摘要: Congenital coronary artery anomalies have been reported in fewer than 1.3% of patients undergoing angiography. Most commonly, they take the form an anomalous origin one major epicardial vessels or variations their course. The presence intracavitary course intact is a particularly rare entity with two distinct variants described literature. While majority previous reports were incidentally encountered at time open heart surgery on autopsy, detection these abnormalities likely to significantly increase widespread use advanced cardiac imaging. Although usually clinically benign, impose myriad challenges around invasive procedures. intramural can complicate bypass surgery, leading difficulties vessel localization as well grafting. In addition, it upmost importance that interventional cardiologists and electrophysiologists are aware this anomaly because inadvertent disruption occur angiography, pacemaker implantation, right catheterization electrophysiology procedure. Electrophysiologists, cardiothoracic surgeons all need be implications anatomical variant procedural risk planning.