Abstract
There are a wide range of variations in the course of the coronary arteries. An understanding of the common anomalous courses of the coronaries is helpful when looking at infants and children, in whom the size of the coronary arteries is significantly smaller than those in adults. Anomalies and variations of the course of the coronaries are often seen when their origin is from the opposite sinus. Common pathways for these anomalies of origin are interarterial, prepulmonary, retro- or circum-aortic, trans-septal, and retrocardiac. The interarterial course may be intramural or within the wall of the aorta. This can have adverse clinical outcomes.
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Angelini P, Walmsley RP, Libreros A, Ott DA. Symptomatic anomalous origination of the left coronary artery from the opposite sinus of valsalva. Clinical presentations, diagnosis, and surgical repair. Tex Heart Inst J. 2006;33:171–9.
Cacici G, Angelini P. Unusual case of single coronary artery: questions of methods and basic concepts. Ital Heart J. 2005;6:345–7.
Dodge-Khatami A, Mavroudis C, Backer CL. Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries. Ann Thorac Surg. 2000;69:S270–S97.
Ferreira AG Jr, Trotter SE, König B Jr, Décourt LV, Fox K, Olsen EG. Myocardial bridges: morphological and functional aspects. Br Heart J. 1991;66:364–7.
Miller JA, Anavekar NS, El Yaman MM, Burkhart HM, Miller AJ, Julsrud PR. Computed tomographic angiography identification of intramural segments in anomalous coronary arteries with interarterial course. Int J Cardiovasc Imaging. 2012;28:1525–32.
Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: the normal and the abnormal. World J Radiol. 2016;28(8):537–55.
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Richardson, R.R. (2020). Anomalous Course of Coronary Arteries. In: Atlas of Pediatric CTA of Coronary Artery Anomalies. Springer, Cham. https://doi.org/10.1007/978-3-030-28087-1_5
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DOI: https://doi.org/10.1007/978-3-030-28087-1_5
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