Evaluating the Association between Anomalous Aortic Origin of the Right Coronary Artery from the Left Sinus with Interarterial Course at Coronary CT Angiography and Sudden Cardiac Death.

التفاصيل البيبلوغرافية
العنوان:	Evaluating the Association between Anomalous Aortic Origin of the Right Coronary Artery from the Left Sinus with Interarterial Course at Coronary CT Angiography and Sudden Cardiac Death.
المؤلفون:	Gil BM; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Chang S; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Beck KS; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Lee W; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Lee HJ; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Choo KS; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Chung MH; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Kim TH; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.)., Jung JI; From the Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea (B.M.G., M.H.C.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea (S.C., K.S.B., J.I.J.); Department of Radiology, Seoul National University Hospital, Seoul National College of Medicine, Seoul, Republic of Korea (W.L.); Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.J.L.); Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea (K.S.C.); and Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea (T.H.K.).
المصدر:	Radiology. Cardiothoracic imaging [Radiol Cardiothorac Imaging] 2024 Aug; Vol. 6 (4), pp. e230407.
نوع المنشور:	Journal Article; Multicenter Study
اللغة:	English
بيانات الدورية:	Publisher: Radiological Society of North America, Inc Country of Publication: United States NLM ID: 101748663 Publication Model: Print Cited Medium: Internet ISSN: 2638-6135 (Electronic) Linking ISSN: 26386135 NLM ISO Abbreviation: Radiol Cardiothorac Imaging Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Oak Brook, IL : Radiological Society of North America, Inc., [2019]-
مواضيع طبية MeSH:	Coronary Vessel Anomalies/diagnostic imaging , Coronary Vessel Anomalies/mortality , Coronary Vessel Anomalies/complications , Death, Sudden, Cardiac/etiology , Death, Sudden, Cardiac/epidemiology , Computed Tomography Angiography , Coronary Angiography*, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/pathology ; Aged ; Coronary Sinus/abnormalities ; Coronary Sinus/diagnostic imaging
مستخلص:	Purpose To investigate the association between the anomalous aortic origin of the right coronary artery (R-AAOCA) from the left coronary sinus with interarterial course (IAC) found at coronary CT angiography and sudden cardiac death using a large data set from five university hospitals. Materials and Methods From a total of 89 314 CCTA scans (January 2009 to December 2016) that were retrospectively collected, 316 patients with R-AAOCA from the left sinus with IAC were retrospectively collected. After excluding patients with less than 2 years of follow-up, patients who had already undergone cardiovascular surgery or intervention, and patients with arrhythmia or heart failure before undergoing coronary CT angiography, 224 patients were analyzed. Follow-up was terminated upon the occurrence of major adverse cardiovascular events (MACE). Logistic regression was used to identify clinical and radiologic information as independent predictors of MACE. Results The period prevalence of R-AAOCA from the left sinus with IAC was 0.354%. The mean age was 62.03 years, with a male-to-female ratio of 182:134. During follow-up, 19 of 224 patients (8.5%) experienced MACE, but none had sudden cardiac death. Of these cases, only seven (3.13%) were suspected of being due to R-AAOCA from the left sinus with IAC and all of them had unstable angina. Coronary artery disease was significantly associated with MACE ( P < .001), while no significant correlation was observed with radiologic features. Conclusion Sudden cardiac death was not associated with R-AAOCA from the left sinus with IAC found at coronary CT angiography. The occurrence of MACE was low, with coronary artery disease being the sole significant predictor of a patient's prognosis. Keywords: Anomalous Aortic Origin of the Right Coronary Artery, Left Coronary Sinus with Interarterial Course, Coronary CT Angiography, Sudden Cardiac Death Supplemental material is available for this article. © RSNA, 2024.
فهرسة مساهمة:	Keywords: Anomalous Aortic Origin of the Right Coronary Artery; Coronary CT Angiography; Left Coronary Sinus with Interarterial Course; Sudden Cardiac Death
تواريخ الأحداث:	Date Created: 20240718 Date Completed: 20240718 Latest Revision: 20240718
رمز التحديث:	20240718
DOI:	10.1148/ryct.230407
PMID:	39023372
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	2638-6135
DOI:	10.1148/ryct.230407