| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Cardiac Imaging |
1 From the CMR Unit, Royal Brompton Hospital, Sydney St, London SW3 6NP, England (N.H.B., J.K., E.M.R., D.N.F., D.J.P.); Siemens Medical Solutions, Erlangen, Germany (C.H.L.); and Minneapolis Heart Institute, Minn (J.L.). Received March 20, 2002; revision requested June 6; revision received August 30; accepted September 30. Address correspondence to D.J.P. (e-mail: d.pennell@ic.ac.uk).
PURPOSE: To evaluate a simplified protocol by using free-breathing three-dimensional (3D) coronary magnetic resonance (MR) angiography to determine the anatomy of anomalous coronary arteries, in particular the relationship of the vessels to the aortic root.
MATERIALS AND METHODS: Twenty-six patients (18 men, eight women; mean age, 50 years; age range, 18–77 years) who had a history of chest pain, palpitations, or syncope and who were suspected of having coronary artery anomalies were examined with free-breathing MR angiography. Multiple 3D volume slabs were acquired at the level of the sinuses of Valsalva by using diaphragmatic navigators for respiratory artifact suppression. The proximal anatomy of the coronary arteries was determined.
RESULTS: Six anomalous circumflex arteries originated from the right sinus of Valsalva and passed behind the aortic root. Six right coronary arteries arose from the left sinus of Valsalva and coursed between the aortic root and the right ventricular outflow tract (RVOT). Nine left coronary arteries arose from the right sinus of Valsalva; seven of nine coursed between the aortic root and the RVOT. Five patients had minor anomalies. Overall, in eight patients with anomalous arteries that coursed between the aortic root and the RVOT, conventional coronary angiography could not be used confidently to identify the proximal course.
CONCLUSION: Free-breathing 3D coronary MR angiography can be used to identify the proximal anatomy of anomalous coronary arteries.
© RSNA, 2003
Index terms: Coronary angiography, comparative studies, 54.124 • Coronary vessels, abnormalities, 54.18 • Magnetic resonance (MR), vascular studies, 54.124
This article has been cited by other articles:
|
|
 |
|
  N H PARK and S I PARK An anomalous left anterior descending artery with myocardial bridging in a patient with a true left anterior descending artery Br. J. Radiol., December 1, 2008; 81(972): e287 - e289. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. A. Bluemke, S. Achenbach, M. Budoff, T. C. Gerber, B. Gersh, L. D. Hillis, W. G. Hundley, W. J. Manning, B. F. Printz, M. Stuber, et al. Noninvasive Coronary Artery Imaging: Magnetic Resonance Angiography and Multidetector Computed Tomography Angiography: A Scientific Statement From the American Heart Association Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention, and the Councils on Clinical Cardiology and Cardiovascular Disease in the Young Circulation, July 29, 2008; 118(5): 586 - 606. [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Gharib, V. B. Ho, D. R. Rosing, D. A. Herzka, M. Stuber, A. E. Arai, and R. I. Pettigrew Coronary Artery Anomalies and Variants: Technical Feasibility of Assessment with Coronary MR Angiography at 3 T Radiology, April 1, 2008; 247(1): 220 - 227. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. K. Attili and P. N. Cascade CT and MRI of Coronary Artery Disease:Evidence-Based Review. Am. J. Roentgenol., December 1, 2006; 187(6 Suppl): S483 - S499. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Attili, J. M. Foral, U. J. Schoepf, P. N. Cascade, and F. S. Chew CT and MRI of Coronary Artery Disease: Self-Assessment Module Am. J. Roentgenol., December 1, 2006; 187(6_Supplement): S500 - S504. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Muthupillai, J. Smink, S. Hong, R. Ravindran, V. V. Lee, and S. D. Flamm SENSE or k-MAG to accelerate free breathing navigator-guided coronary MR angiography. Am. J. Roentgenol., June 1, 2006; 186(6): 1669 - 1675. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Y. Kim, J. B. Seo, K.-H. Do, J.-N. Heo, J. S. Lee, J.-W. Song, Y. H. Choe, T. H. Kim, H. S. Yong, S. I. Choi, et al. Coronary Artery Anomalies: Classification and ECG-gated Multi-Detector Row CT Findings with Angiographic Correlation. RadioGraphics, March 1, 2006; 26(2): 317 - 333. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. White Invited commentary. RadioGraphics, March 1, 2006; 26(2): 333 - 334. [Full Text] [PDF]
|
|
|
|
|
|
M. Katoh, J. E. Wildberger, R. W. Gunther, and A. Buecker Malignant Right Coronary Artery Anomaly Simulated by Motion Artifacts on MDCT Am. J. Roentgenol., October 1, 2005; 185(4): 1007 - 1010. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Sakuma, Y. Ichikawa, N. Suzawa, T. Hirano, K. Makino, N. Koyama, M. Van Cauteren, and K. Takeda Assessment of Coronary Arteries with Total Study Time of Less than 30 Minutes by Using Whole-Heart Coronary MR Angiography Radiology, October 1, 2005; 237(1): 316 - 321. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Khanna, D. A. Torigian, V. A. Ferrari, R. J. Bross, and M. A. Rosen Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood on CT and MRI Am. J. Roentgenol., August 1, 2005; 185(2): 326 - 329. [Full Text] [PDF]
|
|
|
|
|
|
J. Datta, C. S. White, R. C. Gilkeson, C. A. Meyer, S. Kansal, M. L. Jani, R. C. Arildsen, and K. Read Anomalous Coronary Arteries in Adults: Depiction at Multi-Detector Row CT Angiography Radiology, June 1, 2005; 235(3): 812 - 818. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. R. Moreno and V. Fuster The year in atherothrombosis J. Am. Coll. Cardiol., December 7, 2004; 44(11): 2099 - 2110. [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Pennell, U. P. Sechtem, C. B. Higgins, W. J. Manning, G. M. Pohost, F. E. Rademakers, A. C. van Rossum, L. J. Shaw, and E. K. Yucel Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report Eur. Heart J., November 1, 2004; 25(21): 1940 - 1965. [Full Text] [PDF]
|
|
|
|
 |
|
 A. R. Deibler, R. S. Kuzo, M. Vohringer, E. E. Page, R. E. Safford, J. N. Patton, G. E. Lane, R. L. Morin, and T. C. Gerber Imaging of Congenital Coronary Anomalies With Multislice Computed Tomography Mayo Clin. Proc., August 1, 2004; 79(8): 1017 - 1023. [Abstract] [PDF]
|
|
|
|
|
|
U. J. Schoepf, C. R. Becker, B. M. Ohnesorge, and E. K. Yucel CT of Coronary Artery Disease Radiology, July 1, 2004; 232(1): 18 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G Casolo, G F Gensini, G Santoro, and L Rega Anomalous origin of the circumflex artery and patent foramen ovale: a rare cause of myocardial ischaemia after percutaneous closure of the defect Heart, August 1, 2003; 89(8): e23 - 23. [Abstract] [Full Text] [PDF]
|
|
