Computed Tomography Angiography (CTA) has been an important asset in cardiovascular diagnosis for decades. The continuous improvement of rapid data acquisition with often higher spatial resolution has established the method as indispensable for diagnosing and managing multiple cardiovascular entities such as aneurysms, aortic dissection, and pulmonary embolism., The use of CTA in heart and coronary imaging has also gained important territory and relevance., Computed Tomography (CT) techniques have been advancing significantly since its introduction in the medical field. Starting with […]

Abstract Coronary computed tomography angiography (CCTA) is an effective noninvasive method for detecting atherosclerotic disease, especially in symptomatic patients with low-to-moderate disease probability. Despite good accuracy in detecting obstructions, its relationship with functional lesion severity is limited. For a more accurate assessment, anatomical evaluation can be associated with myocardial computed tomography perfusion and fractional flow reserve derived from CCTA (FFRct). Myocardial perfusion computed tomography identifies areas of ischemia. FFRct, which assesses the hemodynamic significance of stenoses, has shown high accuracy […]

Introduction Anomalous origin of the coronary arteries represents a heterogeneous group of alterations in the origin and course of these vessels, ranging from the most common, asymptomatic and low risk, to the rarest and highest risk, which may eventually be symptomatic or have sudden death as their first manifestation., Their prevalence corresponds to 1.3% of patients undergoing coronary angiography, but this number may be higher depending on the diagnostic method and the population selected, representing the second leading cause of […]

Introduction Until recent years, coronary venous system imaging was overshadowed by coronary artery imaging. However, in recent times, the significance of coronary venous system imaging has risen markedly, particularly due to its pivotal role in diverse interventional cardiology procedures. These interventions encompass a spectrum of tasks, including left ventricular pacing, mapping and ablation of arrhythmias, and retrograde cardioplegia. These procedures are facilitated by utilizing the potential of the coronary sinus (CS). As a result, comprehending the anatomy and anomalies of […]

Introduction Congenital coronary artery anomaly (CCAA) is a relatively rare condition with an estimated population prevalence of 0.21–5.79%. CCAA presents a wide spectrum of variations and can be classified into origin and course, intrinsic, and termination anomalies. , The CCAA with the highest prevalence is the anomalous origin of the circumflex artery (CxA) from the right coronary sinus (RCS) with an estimated prevalence of 0.3–0.8%. CCAA usually travels along a retroaortic course and may present different originations, such as from […]

A 33-year-old female patient presented with complaints of palpitations, precordialgia, and dyspnea on exertion. Echocardiography revealed that the left coronary artery originated from the pulmonary artery with reverse flow and dilation of the right coronary artery (Figure 1, Video 1). Subsequent coronary angiography confirmed the diagnosis of anomalous left coronary artery from the pulmonary artery, also known as Bland-White-Garland syndrome (Figure 2), a rare and potentially fatal congenital pathology with an uncommon initial presentation in adults.

Introduction Spontaneous coronary artery dissection (SCAD), defined as separation of the layers of the coronary wall unrelated to trauma, iatrogenesis, or atherosclerosis, often occurs in young women without cardiovascular risk factors. First described almost a century ago, it was poorly understood for some time, known only to be associated with the peripartum and pregnancy periods. SCAD is a rare cause of acute coronary syndrome (ACS), and despite technological advances in invasive or non-invasive imaging tests increasing our understanding of its […]

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