open access

Vol 77, No 3 (2018)
Case report
Submitted: 2017-10-14
Accepted: 2017-12-07
Published online: 2017-12-28
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Multislice/multidetector-row computed tomography findings of a rare coronary anomaly: the first septal perforator branch originating from the left main coronary artery

A. G. Karadeniz1, M. R. Sayin2, S. Kul2
·
Pubmed: 29297182
·
Folia Morphol 2018;77(3):597-600.
Affiliations
  1. Department of Radiology, University of Health Sciences, Trabzon Ahi Evren Cardiovascular and Thoracic Surgery Research and Application Centre, Trabzon, Turkey, Türkiye
  2. Department of Cardiology, University of Health Sciences, Trabzon Ahi Evren Cardiovascular and Thoracic Surgery Research and Application Centre, Trabzon, Turkey, Türkiye

open access

Vol 77, No 3 (2018)
CASE REPORTS
Submitted: 2017-10-14
Accepted: 2017-12-07
Published online: 2017-12-28

Abstract

Multislice/multidetector-row computed tomography (MDCT) is now widely used for noninvasive assessment of coronary arteries, and it may sometimes reveal coronary anomalies. Detection of such anomalies may be relevant both during follow-up and for planning cardiac or coronary surgical/interventional procedures. These anomalies may be missed unless carefully sought. In this paper, we present the MDCT images of a first septal perforator branch originating from the left main coronary artery, which represents an extremely rare coronary anomaly. To the best
of our knowledge, this is the first case in the literature where MDCT images are presented.

Abstract

Multislice/multidetector-row computed tomography (MDCT) is now widely used for noninvasive assessment of coronary arteries, and it may sometimes reveal coronary anomalies. Detection of such anomalies may be relevant both during follow-up and for planning cardiac or coronary surgical/interventional procedures. These anomalies may be missed unless carefully sought. In this paper, we present the MDCT images of a first septal perforator branch originating from the left main coronary artery, which represents an extremely rare coronary anomaly. To the best
of our knowledge, this is the first case in the literature where MDCT images are presented.

Get Citation

Keywords

first large septal perforator; multislice/multidetector-row computed tomography

About this article
Title

Multislice/multidetector-row computed tomography findings of a rare coronary anomaly: the first septal perforator branch originating from the left main coronary artery

Journal

Folia Morphologica

Issue

Vol 77, No 3 (2018)

Article type

Case report

Pages

597-600

Published online

2017-12-28

Page views

1608

Article views/downloads

4988

DOI

10.5603/FM.a2017.0117

Pubmed

29297182

Bibliographic record

Folia Morphol 2018;77(3):597-600.

Keywords

first large septal perforator
multislice/multidetector-row computed tomography

Authors

A. G. Karadeniz
M. R. Sayin
S. Kul

References (8)
  1. Click RL, Holmes DR, Vlietstra RE, et al. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival--a report from the Coronary Artery Surgery Study. J Am Coll Cardiol. 1989; 13(3): 531–537.
  2. Daves M. Cardiac roentgenology: theloopandcircle approach. Radiology. 1970; 95(1): 157–160.
  3. Ghadri JR, Kazakauskaite E, Braunschweig S, et al. Congenital coronary anomalies detected by coronary computed tomography compared to invasive coronary angiography. BMC Cardiovasc Disord. 2014; 14: 81.
  4. Kodama-Takahashi K, Suzuki J, Watanabe A, et al. Ischemia in the territory of the first major septal perforator branch anomalously originating from the first diagonal branch leads to a transient leftward shift of the QRS axis in the frontal plane. Circ J. 2003; 67(10): 885–888.
  5. Rodriguez FL, Robbins SL, Banasiewicz M. The descending septal artery in human, porcine, equine, ovine, bovine, and canine hearts. A postmortem angiographic study. Am Heart J. 1961; 62: 247–259.
  6. Sayin MR, Akpinar I, Karabag T, et al. First septal artery originating from the left main coronary artery: a rare anomaly. Herz. 2013; 38(4): 391–392.
  7. Verna E, Santarone M, Boscarini M, et al. Unusual origin and course of the first septal branch of the left coronary artery: angiographic recognition. Cardiovasc Intervent Radiol. 1988; 11(3): 146–149.
  8. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990; 21(1): 28–40.

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