ABSTRACT
In a 47-year-old lady, planned for redo percutaneous mitral commissurotomy for recurrent mitral valve stenosis, there was incidental detection of splitting of right coronary artery and direct origin and shepherd's crook course of the conal artery. Though these two anomalies have no hemodynamic significance, correct nomenclature and potential clinical implications have been described.
Subject(s)
Mitral Valve Stenosis , Female , Humans , Middle Aged , Mitral Valve Stenosis/diagnostic imaging , Mitral Valve Stenosis/etiology , Mitral Valve Stenosis/surgery , Coronary Vessels/diagnostic imaging , Coronary Vessels/surgeryABSTRACT
We hereby present a case of intrapulmonary invagination of the left internal mammary artery detected on CT angiography. We aim to highlight the role of CT angiography in identifying these course anomalies and their clinical implications.
Subject(s)
Coronary Vessel Anomalies , Mammary Arteries , Humans , Computed Tomography Angiography , Mammary Arteries/diagnostic imaging , Mammary Arteries/surgery , Coronary Vessel Anomalies/surgery , Postoperative Period , Coronary AngiographyABSTRACT
We hereby present an unusually long intra-atrial course of the right coronary artery incidentally detected on computed tomography angiography. Although usually asymptomatic, an intra-atrial right coronary artery may be injured during iatrogenic procedures which require right heart catheterisation.
ABSTRACT
We hereby present a patient with tetralogy of Fallot in whom a carotid trunk and aberrant right subclavian artery (arising just next to the origin of the left subclavian artery) were diagnosed on computed tomography (CT) angiography. We aim to highlight the role of CT angiography in identifying these rare aortic arch branching anomalies, which are crucial information for the operating surgeon.
Subject(s)
Heart Defects, Congenital , Tetralogy of Fallot , Aorta, Thoracic/abnormalities , Aorta, Thoracic/diagnostic imaging , Aorta, Thoracic/surgery , Cardiovascular Abnormalities , Heart Defects, Congenital/complications , Humans , Subclavian Artery/abnormalities , Subclavian Artery/diagnostic imaging , Subclavian Artery/surgery , Tetralogy of Fallot/complications , Tetralogy of Fallot/diagnostic imaging , Tetralogy of Fallot/surgeryABSTRACT
We hereby present a case of tetralogy of Fallot with duplicated brachiocephalic vein having a preaortic and a subaortic component. We aim to highlight the role of computed tomography angiography in identifying these rare associations of tetralogy of Fallot.
Subject(s)
Cardiovascular Abnormalities , Tetralogy of Fallot , Vascular Ring , Angiography , Brachiocephalic Veins/abnormalities , Humans , Tetralogy of Fallot/complications , Tetralogy of Fallot/diagnostic imaging , Tetralogy of Fallot/surgerySubject(s)
Aneurysm, Infected , Bacteremia , Sepsis , Staphylococcal Infections , Aneurysm, Infected/complications , Aneurysm, Infected/diagnostic imaging , Bacteremia/complications , Child , Humans , Pulmonary Artery/diagnostic imaging , Sepsis/complications , Staphylococcal Infections/complications , Staphylococcal Infections/diagnosisABSTRACT
We report a case of a 5-year-old child with tetralogy of Fallot-pulmonary atresia with anomalous origin of left pulmonary artery from ascending aorta and right lung supplied by collateral arteries. This case highlights the role of preoperative CT angiography in differentiating this entity from a common arterial trunk with discontinuous pulmonary arteries.
Subject(s)
Pulmonary Atresia , Tetralogy of Fallot , Abnormalities, Multiple , Aorta/abnormalities , Aorta/diagnostic imaging , Aorta/surgery , Child, Preschool , Humans , Lung/abnormalities , Lung Diseases , Pulmonary Artery/abnormalities , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/surgery , Pulmonary Atresia/diagnostic imaging , Pulmonary Atresia/surgery , Tetralogy of Fallot/complications , Tetralogy of Fallot/diagnostic imaging , Tetralogy of Fallot/surgeryABSTRACT
We report an 11-year-old child with double-chambered right ventricle detected on echocardiography in whom computed tomography (CT) angiography revealed a rare arch anomaly double aortic arch with atretic left arch. This case highlights the ability of CT angiography in identifying such cardiovascular anomalies which have clinical and surgical implications.
Subject(s)
Vascular Ring , Angiography , Aorta, Thoracic/abnormalities , Aorta, Thoracic/diagnostic imaging , Aorta, Thoracic/surgery , Child , Computed Tomography Angiography , Heart Ventricles/diagnostic imaging , Humans , Tomography, X-Ray Computed/methodsSubject(s)
Brachiocephalic Veins , Tetralogy of Fallot , Humans , Brachiocephalic Veins/diagnostic imaging , Brachiocephalic Veins/abnormalities , Computed Tomography Angiography , Tetralogy of Fallot/diagnostic imaging , Tetralogy of Fallot/surgery , Angiography , Tomography, X-Ray Computed/methodsSubject(s)
Aortic Dissection , Endovascular Procedures , Aortic Dissection/diagnostic imaging , Aortic Dissection/etiology , Aortic Dissection/surgery , Endovascular Procedures/adverse effects , Humans , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Artery, Superior/surgery , Stents , Treatment OutcomeABSTRACT
Pulmonary artery dilatation comprises a heterogeneous group of disorders. Early diagnosis is important as the presentation may be incidental, chronic, or acute and life threatening depending upon the etiology. Cross-sectional imaging plays an important role, with CT pulmonary angiography being regarded as the first line investigation in the evaluation of pulmonary artery pathologies. Moreover, effects of pulmonary artery lesions on proximal and distal circulation can also be ascertained with the detection of associated conditions. Special attention should also be given to the left main coronary artery and the trachea-bronchial tree as they may be extrinsically compressed by the dilated pulmonary artery. In context of an appropriate clinical background, CT pulmonary angiography also helps in treatment planning, prognostication, and follow-up of these patients. This review mainly deals with imaging evaluation of the pulmonary arterial dilatations on CT with emphasis on the gamut of etiologies in the adult as well as pediatric populations.
Subject(s)
Aortic Aneurysm, Abdominal , Blood Vessel Prosthesis Implantation , Endovascular Procedures , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/adverse effects , Endoleak/diagnostic imaging , Endoleak/etiology , Humans , Retrospective Studies , Treatment OutcomeABSTRACT
We report a case of 6-week-old boy with a mixed variety of totally anomalous pulmonary venous connection where the common channel had a dual drainage into the coronary sinus and left brachiocephalic vein respectively. The case also highlights the role of preoperative computed tomography angiography in demonstrating the exact pulmonary venous anatomy, course and identifying obstruction, when present.
Subject(s)
Coronary Sinus , Pulmonary Veins , Scimitar Syndrome , Brachiocephalic Veins/diagnostic imaging , Brachiocephalic Veins/surgery , Coronary Sinus/diagnostic imaging , Coronary Sinus/surgery , Drainage , Humans , Infant , Male , Pulmonary Veins/diagnostic imaging , Pulmonary Veins/surgery , Scimitar Syndrome/diagnostic imaging , Scimitar Syndrome/surgerySubject(s)
Aortic Coarctation , Mitral Valve Stenosis , Adult , Computed Tomography Angiography , HumansABSTRACT
We present images from computed tomography angiography in a 40-year-old female with a calcified pseudo-aneurysm in her left coronary artery, who had previously undergone repair of tetralogy of Fallot.