chapter  14
14 Pages

Computed Tomographic Angiography of Coronary Artery Anomalies

ByPhillip M Young, Ronald S Kuzo, Thomas C Gerber

Anomalies of the coronary vasculature have gained increasing

attention in recent years. The medical significance of anom-

alous coronary arteries lies in the risk of sudden cardiac death

in young, previously asymptomatic individuals, which is asso-

ciated with certain variants of such anomalies. Typically, coro-

nary anomalies are either recognized as incidental findings in

patients undergoing invasive, selective coronary angiography,

or are diagnosed at autopsy. Given the limited number of suit-

able diagnostic modalities, these uncommon but potentially

lethal conditions are rarely detected and probably frequently

under-recognized or incorrectly characterized in live patients.