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首页> 外文期刊>Eastern Journal of Medicine >Coronary Artery Anomalies and Variations Detected in Computed Tomography Angiography
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Coronary Artery Anomalies and Variations Detected in Computed Tomography Angiography

机译：在计算机断层扫描血管造影中检测到的冠状动脉异常和变异

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Coronary Artery Anomalies and Variations Detected in Computed Tomography Angiography Ali Mahir Gündüz Department of Radiology, Yuzuncu Yil University Medical Faculty, Van, Turkey INTRODUCTION: There are many methods in the diagnosis of coronary artery diseases, and the reference method is catheter angiography. Coronary computed tomography angiography (c-CTA) is more valuable in the diagnosis of coronary artery and cardiac anomalies, plaques in the coronary artery wall, aortic dissection, myocardial bridges, osteal pathologies and coronary fistulas. In this study, we investigated the diversity and frequency of coronary artery anomalies and variations in c-CTA examinations performed in our unit. METHODS: We included 700 patients who underwent c-CTA in the study. The c-CTA images and reports of the patients were retrospectively evaluated, and the diversity and frequency of coronary artery anomalies and variations were investigated. The axial images, multiplanar reconstruction, maximum intensity projection and 3D volume rendering images were examined together and coronary artery stenosis, anomalies and variations were evaluated. RESULTS: We detected intermediate artery in 126 patients (18%) myocardial bridging in 87 patients (12.43%). LMCA was not observed in 11 (1.6%). Single coronary artery was observed in 3 (0.43%). RCA showed an interarterial course between aorta and pulmonary artery in 1 patient (0.14%). DISCUSSION AND CONCLUSION: C-CTA is an effective method in detecting coronary artery diseases, variations and anomalies. There are studies indicating that c-CTA is superior to catheter angiography in the diagnosis of coronary artery anomalies. Coronary artery anomalies are the uncommon category of cardiac diseases. Their incidence in the community is 1-2%. Our study supports that c-CTA is an imaging method that is used in the diagnosis of coronary artery anomalies and variations and provides detailed information.
机译：在计算机断层扫描血管造影术中检测到的冠状动脉异常和变异Ali MahirGündüz，土耳其Yuzuncu Yil大学医学院，放射科简介：诊断冠状动脉疾病的方法很多，参考方法是导管血管造影。冠状动脉计算机断层造影血管造影（c-CTA）在诊断冠状动脉和心脏异常，冠状动脉壁斑块，主动脉夹层，心肌桥，骨病理学和冠状动脉瘘管方面更有价值。在这项研究中，我们调查了在我们单位进行的c-CTA检查中冠状动脉异常的多样性和频率以及变异。方法：我们纳入了700名接受c-CTA的患者。回顾性分析患者的c-CTA图像和报告，并研究冠状动脉异常和变异的多样性和频率。一起检查了轴向图像，多平面重建，最大强度投影和3D体积渲染图像，并对冠状动脉狭窄，异常和变异进行了评估。结果：我们在126例患者（18％）中检测到了中间动脉，在87例患者中（12.43％）检测到了心肌桥接。在11（1.6％）中未观察到LMCA。在3例中观察到单冠状动脉（0.43％）。 RCA在1例患者中显示主动脉和肺动脉之间的动脉间病变（0.14％）。讨论与结论：C-CTA是检测冠状动脉疾病，变异和异常的有效方法。有研究表明，c-CTA在诊断冠状动脉异常方面优于导管血管造影。冠状动脉异常是心脏病的罕见类型。他们在社区中的发生率为1-2％。我们的研究支持c-CTA是一种成像方法，可用于诊断冠状动脉异常和变异并提供详细信息。

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