Diagnosis of functional ischemia in a right coronary artery with anomalous aortic origin

Tetsuma Kawaji; Hiroki Shiomi; Satoshi Shizuta; Takeshi Kimura

doi:10.1016/j.jcct.2015.11.001

Diagnosis of functional ischemia in a right coronary artery with anomalous aortic origin

J Cardiovasc Comput Tomogr. 2016 Mar-Apr;10(2):188-90. doi: 10.1016/j.jcct.2015.11.001. Epub 2015 Nov 14.

Authors

Tetsuma Kawaji¹, Hiroki Shiomi², Satoshi Shizuta², Takeshi Kimura²

Affiliations

¹ Department of Cardiovascular Medicine, Kyoto University, Graduate School of Medicine, Japan. Electronic address: [email protected].
² Department of Cardiovascular Medicine, Kyoto University, Graduate School of Medicine, Japan.

PMID: 26612431
DOI: 10.1016/j.jcct.2015.11.001

Abstract

Anomalous aortic origin of coronary artery (AAOCA) is rare but critical for the association with sudden cardiac death. In detecting the origin of AAOCA, coronary CT angiography is more accurate than invasive coronary angiography, but only with anatomical evaluation. A novel technology FFRCT, which is noninvasively computed by coronary CT image, can evaluate functional ischemia of coronary artery even without atherosclerotic plaque and has potential for innovation in AAOCA.

Keywords: AAOCA; CCTA; FFR; FFRCT.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Cardiac Catheterization*
Computed Tomography Angiography*
Coronary Angiography / methods*
Coronary Vessel Anomalies / complications
Coronary Vessel Anomalies / diagnostic imaging*
Coronary Vessel Anomalies / physiopathology
Coronary Vessels / diagnostic imaging*
Coronary Vessels / physiopathology
Female
Fractional Flow Reserve, Myocardial
Humans
Middle Aged
Myocardial Ischemia / diagnostic imaging*
Myocardial Ischemia / etiology
Myocardial Ischemia / physiopathology
Predictive Value of Tests
Ultrasonography, Interventional