Congenital coronary artery anomalies silent until geriatric age: non-invasive assessment, angiography tips, and treatment
Author
Rigatelli, Gianluca; Dell'Avvocata, Fabio; Van Tan, Nguyen; Daggubati, Rames; Nanijundappa, Aravinda
Abstract
Coronary artery anomalies (CAAs) may be discovered more often as incidental findings during the normal diagnostic process for other cardiac diseases or less frequently on the basis of manifestations of myocardial ischemia. The cardiovascular professional may be involved in their angiographic diagnosis, functional assessment and eventual endovascular treatment. A complete angiographic definition is mandatory in order to understand the functional effects and plan any intervention in CAAs: computed tomography and magnetic resonance imaging are useful non-invasive tools to detect three-dimensional morphology of the anomalies and its relationships with contiguous cardiac structures, whereas coronary arteriography remains the gold standard for a definitive anatomic picture. A practical idea of the possible functional significance is mandatory for deciding how to manage CAAs: non-invasive stress tests and in particular the invasive pharmacological stress tests with or without intravascular ultrasound monitoring can assess correctly the functional significance of the most CAAs. Finally, the knowledge of the particular endovascular techniques and material is of paramount importance for achieving technical and clinical success. CAAs represent a complex issue, which rarely involve the cardiovascular professional at different levels. A timely practical knowledge of the main issues regarding CAAs is important in the management of such entities.
Date
2015-01
Citation:
APA:
Rigatelli, Gianluca, & Dell'Avvocata, Fabio, & Van Tan, Nguyen, & Daggubati, Rames, & Nanijundappa, Aravinda. (January 2015).
Congenital coronary artery anomalies silent until geriatric age: non-invasive assessment, angiography tips, and treatment.
Journal of Geriatric Cardiology : JGC,
12(1),
66-
75. Retrieved from
http://hdl.handle.net/10342/5421
MLA:
Rigatelli, Gianluca, and Dell'Avvocata, Fabio, and Van Tan, Nguyen, and Daggubati, Rames, and Nanijundappa, Aravinda.
"Congenital coronary artery anomalies silent until geriatric age: non-invasive assessment, angiography tips, and treatment". Journal of Geriatric Cardiology : JGC.
12:1. (66-75),
January 2015.
May 29, 2023.
http://hdl.handle.net/10342/5421.
Chicago:
Rigatelli, Gianluca and Dell'Avvocata, Fabio and Van Tan, Nguyen and Daggubati, Rames and Nanijundappa, Aravinda,
"Congenital coronary artery anomalies silent until geriatric age: non-invasive assessment, angiography tips, and treatment," Journal of Geriatric Cardiology : JGC 12, no.
1 (January 2015),
http://hdl.handle.net/10342/5421 (accessed
May 29, 2023).
AMA:
Rigatelli, Gianluca, Dell'Avvocata, Fabio, Van Tan, Nguyen, Daggubati, Rames, Nanijundappa, Aravinda.
Congenital coronary artery anomalies silent until geriatric age: non-invasive assessment, angiography tips, and treatment. Journal of Geriatric Cardiology : JGC.
January 2015;
12(1):
66-75.
http://hdl.handle.net/10342/5421. Accessed
May 29, 2023.
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