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Congress: ECR25
Poster Number: C-22396
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-22396
Authorblock: M. Kramar, F. Zukic; Sarajevo/BA
Disclosures:
Martina Kramar: Nothing to disclose
Fuad Zukic: Nothing to disclose
Keywords: Cardiac, Cardiovascular system, CT-Angiography, Diagnostic procedure, Congenital
Learning objectives To describe hemodynamically significant coronary artery anomalies. 
Read more Background Coronary CTA is a fundamental noninvasive modality that precisely assesses coronary artery anatomy.Here, we focus on hemodynamically significant anomalies that have an increased risk of myocardial infarction and sudden death, and require adequate surgical treatment. 
Read more Findings and procedure details Hemodynamically significant anomalies include anomalies of origination with interarterial course, anomalous origin from the pulmonary artery,  atresias, and congenital fistulas. (1)Origin of the coronary artery from the opposite Valsalva sinus (ACAOS) with the interarterial course is the second leading cause of death in young athletes after hypertrophic cardiomyopathy. (2)Interarterial or "malignant "course is defined as a pathway of the coronary artery between the pulmonary trunk and aorta. Some authors believe that the vessel with this course is susceptible to obstruction...
Read more Conclusion The knowledge of coronary artery anomalies is essential for radiologists.
Read more References   Neves PO, Andrade J, Monção H. Coronary anomalies: What the radiologist should know. Radiologia Brasileira. 2015;48(4):233-241. doi:10.1590/0100-3984.2014.0004 Gać P, Å»órawik A, PorÄ™ba R. A single coronary artery originating from the right coronary sinus with a typical course of the right coronary artery and the interarterial course of the left main, left anterior descending, and left circumflex as an example of a rare case of high-risk coronary anomaly. Diagnostics. 2022;12(1):167. doi:10.3390/diagnostics12010167 Angelini P, Velasco JA, Flamm S. Coronary anomalies. Circulation. 2002;105(20):2449-2454. doi:10.1161/01.cir.0000016175.49835.57 Krasuski RA,...
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