scholarly journals Complementary role of transoesophageal echocardiography to coronary angiography in the assessment of coronary artery anomalies.

Heart ◽  
1993 ◽  
Vol 70 (1) ◽  
pp. 70-74 ◽  
Author(s):  
P J Giannoccaro ◽  
R A Sochowski ◽  
B C Morton ◽  
K L Chan
2019 ◽  
Vol 22 (6) ◽  
pp. 40-50
Author(s):  
E. F. Abbasov ◽  
S. S. Manafov ◽  
F. Z. Abdullayev ◽  
F. E. Abbasov ◽  
A. G. Akhundova

Purpose.Until the mid-20th century they could be discovered only during autopsy, it means after death. With the introduction of coronary angiography it become possible to find them in a living person. Later on, new modalities such as computed tomography (CT) and magnetic resonance imaging (MRI) enhanced futher our abilities. It is very important to discover coronary anomalies in a living person, because some of them could lead to sudden cardiac death (SCD). In fact, coronary artery anomalies are the second main cause of the SCD in young athletes. Another importance is driven by the fact, that some of them could lead to lifethreatening complications during cardiac surgery when unknown before the operation.Methods.We prospectively reviewed all coronary angiography films from 2011 to 2016 in our center. Coronary anomalies were reviewed and classified by two independent experienced operators. Patients with congenital heart disease and coronary fistulas were excluded.Results.Out of 5055 patients 148 (2.9%) had coronary artery anomalies of origin and distribution. Those were 120 men (81.1%) and 28 women (18.9%) with an age range between 29 to 88 years. The three most common anomalies were myocardial bridge (48.7%), separate origin of the conus branch (13.5%) and separate origin of the LAD and LCX (8.1%).Conclusion.In our study we found more or less the same types and incidence rates of coronary artery anomalies as in the world literature. We had apparently higher rates of myocardial bridges, compared to average number on angiography studies, but very close to authopsy study rates.


Author(s):  
Shana Tehrani ◽  
Sudhir Rathore ◽  
Vinod Achan

Abstract Background Management of heavily calcified coronary arteries is still a major challenge in interventional cardiology. Inadequate stent expansion in calcific lesions is the single most important predictor of stent thrombosis and in-stent restenosis. Rotational atherectomy (RA) is an important tool to modify the calcium burden but is associated with limitations and requires specific skills. Intravascular lithotripsy (IVL) is a novel technique to treat calcified stenotic lesions and has been proposed as an alternative to RA with promising results. Case summary We report a case of a patient with severely calcified right coronary artery stenosis successfully treated with combination of RA and IVL. Discussion In this case, we demonstrate that the RA and IVL are complementary strategies, not sufficient on their own and not alternative to each other.


2012 ◽  
Vol 57 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Fotios Laspas ◽  
Arkadios Roussakis ◽  
Christos Mourmouris ◽  
Nikolaos Kritikos ◽  
Roxani Efthimiadou ◽  
...  

2010 ◽  
Vol 26 (6) ◽  
pp. 701-710 ◽  
Author(s):  
Niek H. Prakken ◽  
Maarten J. Cramer ◽  
Marlon A. Olimulder ◽  
Pierfrancesco Agostoni ◽  
Willem P. Mali ◽  
...  

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