Head and Neck Imaging

Anomalous Origin of Coronary Artery and the Relationship between Myocardial Ischemia

Author:LI Wu, LI An-qi, ZHOU Xiang-lin,et al.

affiliation:The First people's hospital of Lanzhou city image center

PDF

Abstract

Objective Application of 64-slice 128-slice spiral CT coronary artery imaging, detection of anomalous origin of coronary artery cases, analyze its relationship with myocardial ischemia. Methods Collected in our January 2010 to May 2014 in our 64- 128-slice CT coronary angiography examination of cases, a total of 3231, of which 27 cases of abnormal coronary arteries open, 17 men, 10 women, the incidence of 0.83%. Results There were 27 cases of abnormal coronary arteries open, right coronary artery opening 20 cases, exception for 74.07%, dominated by openings at the left coronary cusp, with 17 cases, 6 cases of left coronary artery opening, 22.22%, shedding about 5 cases of the coronary sinus, opening on 1 cases of pulmonary artery, multiple exceptions 1. Conclusions Opening of isolated coronary artery in aorta, without coronary stenosis and plaque lesions, usually without causing a change of myocardial ischemia, openings in the pulmonary hypertension, myocardial ischemia.

【Keyword】Coronary Artery Origin Anomalies; 64 Row Spiral CT; CT Coronary Artery Imaging; Myocardial Ischemia

【Chart number】R541.15; R445.3

【Document Identification Number】A

【DOI】10.3969/j.issn.1672-5131.2015.05.020