Journals / Diagnostic and Interventional Radiology / 2015 / Cilt: 21 - Sayı: 1

Prevalence of dual left anterior descending artery variations in CT angiography

Pages
34–41
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Coronary CT angiography seems markedly efficacious for detecting and documenting the anatomical details of dual LAD subtypes, as well as showing other associated cardiocoronary anomalies.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:PURPOSE We aimed to evaluate the frequency and features of dual left anterior descending artery (LAD) variants using computed tomography (CT) angiography.
📊
Key Findings & Data:METHODS A total of 1337 consecutive coronary CT angiography examinations performed between April 2010 and December 2013 were retrospectively evaluated for the presence of dual LAD.
💡
Conclusion & Impact:Coronary CT angiography seems markedly efficacious for detecting and documenting the anatomical details of dual LAD subtypes, as well as showing other associated cardiocoronary anomalies.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

PURPOSE We aimed to evaluate the frequency and features of dual left anterior descending artery (LAD) variants using computed tomography (CT) angiography. METHODS A total of 1337 consecutive coronary CT angiography examinations performed between April 2010 and December 2013 were retrospectively evaluated for the presence of dual LAD. CT examinations were performed with either 64- or 320-row multidetector CT scanners. All CT angiography images were evaluated for the presence and morphologic features of dual LAD subtypes. RESULTS Fifty-six dual LAD variations (4%) were identified in this study population. Type 1 was the most common type of dual LAD (n=48), while Type 3 (n=3) and Type 4 (n=2) were infrequent and Type 2 was not detected. Additionally, we detected previously unclassified dual LAD variations in three cases. CONCLUSION Dual LAD may be a relatively more common variant than described in the medical literature, which is mostly based on catheter angiography studies. Coronary CT angiography seems markedly efficacious for detecting and documenting the anatomical details of dual LAD subtypes, as well as showing other associated cardiocoronary anomalies.

🔖

Cite This Article

UĞUREL, M. Ş., SARİ, S., AKGÜN, V., ÖRS, F., TAŞAR, M., BOZLAR, U. (2015). Prevalence of dual left anterior descending artery variations in CT angiography. Diagnostic and Interventional Radiology, Cilt: 21 - Sayı: 1, 34–41. https://ajindex.com/articles/350125

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. References 1. Agarwal PP, Kazerooni EA. Dual left anterior descending coronary artery: CT findings. AJR Am J Roentgenol 2008
  2. [CrossRef] 2. Spindola-Franco H, Grose R, Solomon N. Dual left anterior descending coronary artery: Angiographic description of important variants and surgical implications. Am Heart J 1983
  3. [CrossRef] 3. Manchanda A, Qureshi A, Brofferio A, Go D, Shirani J. Novel variant of dual left anterior descending coronary artery. J Cardiovasc Comput Tomogr 2010
  4. [CrossRef] 4. Maroney J, Klein LW. Report of a new anomaly of the left anterior descending artery: type VI dual LAD. Catheter Cardiovasc Interv 2012
  5. [CrossRef] Lee Y, Lim YH, Shin J, Kim KS. A case report of type VI dual left anterior descending coronary artery anomaly presenting with non-ST-segment elevation myocardial infarction. BMC Cardiovasc Disord 2012
  6. [CrossRef] 6. Namboodiri N, Ajitkumar V, Tharakan J. A rare type of dual left anterior descending artery distribution demonstrated by multislice cardiac computerized tomography in a patient with anterior wall infarction. J Invasive Cardiol 2008
  7. Belostotsky V, Veljanovska L, Hristov N, Mitrev Z. Dual left anterior descending artery distribution. Interact Cardiovasc Thorac Surg 2010
  8. [CrossRef] 8. Yoshikai M, Kamohara K, Fumoto H, Kawasaki H. Dual left anterior descending coronary artery: report of a case. Surg Today 2004
  9. [CrossRef] 9. Ko?ar P, Ergun E, Oztürk C, Ko?ar U. Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance. Diagn Interv Radiol 2009
  10. O'Brien JP, Srichai MB, Hecht EM, Kim DC, Jacops JE. Anatomy of the heart at multidetector CT: what the radiologist needs to know. Radiographics 2007
  11. [CrossRef] 11. Zeina AR, Odeh M, Blinder J, Rosenschein U, Barmeir E. Myocardial bridge: evaluation on MDCT. AJR Am J Roentgenol 2007
  12. [CrossRef] 12. Kantarci M, Duran C, Durur I, et al. Detection of myocardial bridging with ECG-gated MDCT and multiplanar reconstruction. AJR Am J Roentgenol 2006
  13. S391-394. [CrossRef] 13. Purvis JA, Morgan DR, Hughes SM. Prevalence of patent foramen ovale in a consecutive cohort of 261 patients undergoing routine "coronary" 64-multi-detector cardiac computed tomography. Ulster Med J 2011
  14. Saremi F, Channual S, Raney A, et al. Imaging of patent foramen ovale with 64-section multidetector CT. Radiology