Noninvasive Multimodality Imaging for the Assessment of Anomalous Coronary Artery.

Gräni, Christoph; Bigler, Marius R; Kwong, Raymond Y (2023). Noninvasive Multimodality Imaging for the Assessment of Anomalous Coronary Artery. Current cardiology reports, 25(10), pp. 1233-1246. Springer 10.1007/s11886-023-01948-w

[img] Text
s11886-023-01948-w.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (6MB)

PURPOSE OF REVIEW

Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital coronary anomaly with the potential to cause myocardial ischemia and adverse cardiac events. The presence of AAOCA anatomy itself does not necessarily implicate a need for revascularization. Therefore, the purpose of this review is to assess how noninvasive comprehensive anatomic- and physiologic evaluation may guide patient management.

RECENT FINDINGS

The assessment of AAOCA includes an accurate description of the anomalous origin/vessel course including anatomical high-risk features such as a slit-like ostium, proximal narrowing, elliptic vessel shape, acute take-off angle, intramural course, and possible concomitant coronary atherosclerosis and hemodynamics. Various cardiac imaging modalities offer unique advantages and capabilities in visualizing these anatomical and functional aspects of AAOCA. This review explored the role of noninvasive multimodality imaging in the characterization of AAOCA by highlighting the strengths, limitations, and potential applications of the current different cardiac imaging methods, with a focus on the pathophysiology of myocardial ischemia and stress testing protocols.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Gräni, Christoph, Bigler, Marius Reto

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1523-3782

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

19 Oct 2023 12:11

Last Modified:

16 Nov 2023 00:16

Publisher DOI:

10.1007/s11886-023-01948-w

PubMed ID:

37851270

Uncontrolled Keywords:

AAOCA Anomalous aortic origin of a coronary artery Assessment of hemodynamic relevance Dynamic stenosis Fixed stenosis Multimodality imaging

BORIS DOI:

10.48350/187287

URI:

https://boris.unibe.ch/id/eprint/187287

Actions (login required)

Edit item Edit item
Provide Feedback