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Diagnosing rare cases of anomalous origin of the coronary arteries in tetralogy of Fallot using CT in an infant and an adult

Published online by Cambridge University Press:  29 October 2014

Salim G. M. Jivanji*
Affiliation:
Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust, London, United Kingdom
Michael Rubens
Affiliation:
Department of Radiology, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
Anna Seale
Affiliation:
Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust, London, United Kingdom
*
Correspondence to: Dr S. G. M. Jivanji, MBChB, MRCPCH, Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust, Sydney Street, London, SW3 5NP, United Kingdom. Tel: +44 773 666 9336; Fax: +44 207 501 4048; E-mail: [email protected]

Abstract

Major and minor coronary artery anomalies in tetralogy of Fallot is a well-described finding. The importance of determining the coronary distribution impacts upon the decision making for surgery and subsequent management. Traditionally, the coronary distribution is relied classically on echocardiography and cardiac catheterisation; however, they have well-known limitations. The use of CT as a first-line investigation modality for coronary artery distribution is discussed.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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