Marta Tomas Mallebrera MD, Presenter: Nothing to Disclose

Angeles Franco Lopez, Abstract Co-Author: Nothing to Disclose

Gonzalo Aldamiz-Echevarria, Abstract Co-Author: Nothing to Disclose

Miguel Orejas Orejas, Abstract Co-Author: Nothing to Disclose

Patients with a coronary artery arising from the wrong sinus are susceptible to ischemia and sudden death. Surgical correction is indicated in all patients with coronary insufficiency and in asymptomatic patients with high-risk morphologic abnormalities.ECG–gated multidetector row computed tomography is superior to conventional angiography in delineating the ostial origin and proximal path of an anomalous coronary artery and detects atherosclerotic disease coexisting with the anomaly The purpose of this exhibit is: -to describe the diagnostic clues to detect the anomalies of high risk: interarterial course, intramural course,ostial compromise including slit-like ostium and angulation abnormalities and severe atherosclerotic disease coexisting with the anomaly -to provide a morphology-based surgical management protocol.

1.Classification of the course of anomalous coronary artery arising from wrong sinus. 2.Diagnostic clues to detect the anomalies of high risk: interarterial course, intramural course, slit-like ostium and angulation abnormalities and severe atherosclerotic disease coexisting with the anomaly. 3.Surgical procedures including coronary artery reimplantation, pulmonary translocation,bypass grafting, unroofing and fenestration, and 4.Morphology-based surgical management protocol

http://abstract.rsna.org/uploads/2014/14013725/14013725_uq8b.pdf

Tomas Mallebrera, M, Franco Lopez, A, Aldamiz-Echevarria, G, Orejas Orejas, M, Surgical Management of Anomalous Origin of Coronary Artery from the Opposite Sinus: What Every Surgeon Should Know before Operating on  a Coronary Anomaly—The Role of Cardiac Radiologist.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14013725.html