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Diagnosing rare cases of anomalous origin of the coronary arteries in tetralogy of Fallot using CT in an infant and an adult

Published online by Cambridge University Press:  29 October 2014

Salim G. M. Jivanji Open the ORCID record for Salim G. M. Jivanji [Opens in a new window] ,
Michael Rubens  and
Anna Seale Open the ORCID record for Anna Seale [Opens in a new window]
Salim G. M. Jivanji*
Affiliation:
Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust, London, United Kingdom
Michael Rubens
Affiliation:
Department of Radiology, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
Anna Seale
Affiliation:
Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust, London, United Kingdom
*
Correspondence to: Dr S. G. M. Jivanji, MBChB, MRCPCH, Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust, Sydney Street, London, SW3 5NP, United Kingdom. Tel: +44 773 666 9336; Fax: +44 207 501 4048; E-mail: salim@jivanji.com
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Abstract

Major and minor coronary artery anomalies in tetralogy of Fallot is a well-described finding. The importance of determining the coronary distribution impacts upon the decision making for surgery and subsequent management. Traditionally, the coronary distribution is relied classically on echocardiography and cardiac catheterisation; however, they have well-known limitations. The use of CT as a first-line investigation modality for coronary artery distribution is discussed.

Keywords

Cardiovascular imaging agents/techniquescardiovascular surgeryCT
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 7 , October 2015 , pp. 1396 - 1398
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Copyright
© Cambridge University Press 2014 

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References

1. Yamanaka, O, Hobbs, RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21: 28–40.Google Scholar
2. Carvalho, JS, Silva, CM, Rigby, ML, Shinebourne, EA. Angiographic diagnosis of anomalous coronary artery in tetralogy of Fallot. Br Heart J 1993; 70: 75–78.Google Scholar
3. Vastel-Amzallag, C, Le Bret, E, Paul, J-F, et al. Diagnostic accuracy of dual-source multislice computed tomographic analysis for the preoperative detection of coronary artery anomalies in 100 patients with tetralogy of Fallot. J Thorac Cardiovasc Surg 2011; 142: 120–126.CrossRefGoogle ScholarPubMed
4. Fellows, KE, Freed, MD, Keane, JF, Van Praagh, R, Bernhard, WF, Castaneda, AC. Results of routine preoperative coronary angiography in tetralogy of Fallot. Circulation 1975; 51: 561–566.CrossRefGoogle ScholarPubMed
5. The Health Protection Agency. Dose Comparisons for Ionising Radiation. Public Health England. Retrieved 18 March 2011 from http://www.hpa.org.uk/Topics/Radiation/UnderstandingRadiation/UnderstandingRadiationTopics/DoseComparisonsForIonisingRadiation/.Google Scholar
6. Leber, AW, Johnson, T, Becker, A, et al. Diagnostic accuracy of dual-source multi-slice CT coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease. Eur Heart J 2007; 28: 2354–2360.Google Scholar