PERCUTANEOUS CORONARY INTERVENTION OF ANOMALOUS CORONARY ARTERIES: ROLE OF PRE-PROCEDURAL CORONARY CT ANGIOGRAPHY
Keywords:
Acute Coronary syndromes, Anomalous coronary arteries, CT angiographyAbstract
Anomalous coronary arteries are occasionally discovered during urgent invasive coronary angiogram. The knowledge
about the origin and anatomical course of these arteries is essential for management and decision-making. This information is difficult to obtain during cardiac catheterization. Coronary CT angiography (CTA), due to its improved ability to depict spatial relationship of thoracic structures can overcome these shortcomings. Additional important information
obtained from CTA can help better plan for the subsequent revascularization. We report three cases of acute coronary syndromes, where information from coronary CTA was complimentary in proper diagnosis and management. We advocate the use of CTA prior to PCI in non emergent cases.
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