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Coronaryarteryanomaliesoverview:Thenormalandtheabnormal

WorldJournalofRadiology 頁數(shù): 19 2016-06-28
摘要: Theaimofthisreviewistogiveacomprehensiveandconciseoverviewofcoronaryembryologyandnormalcoronaryanatomy,describecommonvariantsofnormalandsummarizetypicalpatternsofanomalouscoronaryarteryanatomy.Extensiveiconographysupportsthetext,withparticularattentiontoimagesobtainedinvivousingnon-invasiveimaging.Wehavedividedthisarticleintothreegroups,accordingtotheirfrequencyinthegeneralpopulation:Normal,normalvariantandanomaly.Althoughcongenitalcoronaryarteryanomaliesarerelativelyuncommon,theyarethesecondmostcommoncauseofsuddencardiacdeathamongyoungathletesandthereforewarrantdetailedreview.Basedonthefunctionalrelevanceofeachabnormality,coronaryarteryanomaliescanbeclassifiedasanomalieswithobligatoryischemia,withoutischemiaorwithexceptionalischemia.Theclinicalsymptomsmayincludechestpain,dyspnea,palpitations,syncope,cardiomyopathy,arrhythmia,myocardialinfarctionandsuddencardiacdeath.Moreover,itisimportanttoalsoidentifyvariantsandanomalieswithoutclinicalrelevanceintheirownrightascomplicationsduringsurgeryorangioplastycanoccur. ... (共19頁)

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