Intracavitary Coronary Artery: An Unusual Coronary Anomaly

Rydhwana Hossain, Lydia Chelala, Sagar B. Amin, Peter J. Bergquist, Jenanan Vairavamurthy, Jean Jeudy, Charles S. White

Research output: Contribution to journalArticle

Abstract

Purpose: A few case reports of intracavitary coronary arteries (ICCA) have been reported and only a single case series on the coronary computed tomography angiography (CCTA) prevalence rate of ICCA of the right coronary artery (RCA). We describe several cases of ICCA that were noted incidentally and also determine the overall prevalence rate of anomalous ICCA. Materials and Methods: A retrospective analysis of ICCA was performed consisting of consecutive CCTA cases as well as a group of ICCA from teaching files. To establish a prevalence rate, we reviewed 464 consecutive CCTA referred to our center for transcatheter aortic valve replacement. The presence of ICCA and several imaging features were evaluated. Results: Our cohort comprises a total of 12 patients with ICCA, with 1 patient containing 2 anomalous ICCA. 83.3% of affected patients were adult males, with an average age of 69.8 years. The RCA was the most commonly affected vessel (53.8%). The mean length of the intracavitary segment was 33.4 mm for the RCA and 27 mm for the LAD. No cases involved the left circumflex coronary artery. Six of the cases were identified routinely as part of clinical practice and therefore not included in the prevalence analysis. On review of our transcatheter aortic valve replacement database, there was a 1.3% prevalence rate of ICCA. RCA had a prevalence of 0.4%, whereas LAD had a prevalence of 0.9%. Conclusions: Although rare, our study suggests that ICCA may be more common than previously described. Its presence is important to communicate to clinicians prior to invasive cardiac procedures to prevent potentially catastrophic outcomes.

Original languageEnglish (US)
JournalJournal of Thoracic Imaging
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Coronary Vessels
Teaching
Databases

Keywords

  • coronary artery anomaly
  • coronary computed tomography angiography
  • intracavitary coronary artery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pulmonary and Respiratory Medicine

Cite this

Intracavitary Coronary Artery : An Unusual Coronary Anomaly. / Hossain, Rydhwana; Chelala, Lydia; Amin, Sagar B.; Bergquist, Peter J.; Vairavamurthy, Jenanan; Jeudy, Jean; White, Charles S.

In: Journal of Thoracic Imaging, 01.01.2019.

Research output: Contribution to journalArticle

Hossain, Rydhwana ; Chelala, Lydia ; Amin, Sagar B. ; Bergquist, Peter J. ; Vairavamurthy, Jenanan ; Jeudy, Jean ; White, Charles S. / Intracavitary Coronary Artery : An Unusual Coronary Anomaly. In: Journal of Thoracic Imaging. 2019.
@article{42c4e93c2e724a50a95a7813854cd880,
title = "Intracavitary Coronary Artery: An Unusual Coronary Anomaly",
abstract = "Purpose: A few case reports of intracavitary coronary arteries (ICCA) have been reported and only a single case series on the coronary computed tomography angiography (CCTA) prevalence rate of ICCA of the right coronary artery (RCA). We describe several cases of ICCA that were noted incidentally and also determine the overall prevalence rate of anomalous ICCA. Materials and Methods: A retrospective analysis of ICCA was performed consisting of consecutive CCTA cases as well as a group of ICCA from teaching files. To establish a prevalence rate, we reviewed 464 consecutive CCTA referred to our center for transcatheter aortic valve replacement. The presence of ICCA and several imaging features were evaluated. Results: Our cohort comprises a total of 12 patients with ICCA, with 1 patient containing 2 anomalous ICCA. 83.3{\%} of affected patients were adult males, with an average age of 69.8 years. The RCA was the most commonly affected vessel (53.8{\%}). The mean length of the intracavitary segment was 33.4 mm for the RCA and 27 mm for the LAD. No cases involved the left circumflex coronary artery. Six of the cases were identified routinely as part of clinical practice and therefore not included in the prevalence analysis. On review of our transcatheter aortic valve replacement database, there was a 1.3{\%} prevalence rate of ICCA. RCA had a prevalence of 0.4{\%}, whereas LAD had a prevalence of 0.9{\%}. Conclusions: Although rare, our study suggests that ICCA may be more common than previously described. Its presence is important to communicate to clinicians prior to invasive cardiac procedures to prevent potentially catastrophic outcomes.",
keywords = "coronary artery anomaly, coronary computed tomography angiography, intracavitary coronary artery",
author = "Rydhwana Hossain and Lydia Chelala and Amin, {Sagar B.} and Bergquist, {Peter J.} and Jenanan Vairavamurthy and Jean Jeudy and White, {Charles S.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1097/RTI.0000000000000418",
language = "English (US)",
journal = "Journal of Thoracic Imaging",
issn = "0883-5993",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Intracavitary Coronary Artery

T2 - An Unusual Coronary Anomaly

AU - Hossain, Rydhwana

AU - Chelala, Lydia

AU - Amin, Sagar B.

AU - Bergquist, Peter J.

AU - Vairavamurthy, Jenanan

AU - Jeudy, Jean

AU - White, Charles S.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Purpose: A few case reports of intracavitary coronary arteries (ICCA) have been reported and only a single case series on the coronary computed tomography angiography (CCTA) prevalence rate of ICCA of the right coronary artery (RCA). We describe several cases of ICCA that were noted incidentally and also determine the overall prevalence rate of anomalous ICCA. Materials and Methods: A retrospective analysis of ICCA was performed consisting of consecutive CCTA cases as well as a group of ICCA from teaching files. To establish a prevalence rate, we reviewed 464 consecutive CCTA referred to our center for transcatheter aortic valve replacement. The presence of ICCA and several imaging features were evaluated. Results: Our cohort comprises a total of 12 patients with ICCA, with 1 patient containing 2 anomalous ICCA. 83.3% of affected patients were adult males, with an average age of 69.8 years. The RCA was the most commonly affected vessel (53.8%). The mean length of the intracavitary segment was 33.4 mm for the RCA and 27 mm for the LAD. No cases involved the left circumflex coronary artery. Six of the cases were identified routinely as part of clinical practice and therefore not included in the prevalence analysis. On review of our transcatheter aortic valve replacement database, there was a 1.3% prevalence rate of ICCA. RCA had a prevalence of 0.4%, whereas LAD had a prevalence of 0.9%. Conclusions: Although rare, our study suggests that ICCA may be more common than previously described. Its presence is important to communicate to clinicians prior to invasive cardiac procedures to prevent potentially catastrophic outcomes.

AB - Purpose: A few case reports of intracavitary coronary arteries (ICCA) have been reported and only a single case series on the coronary computed tomography angiography (CCTA) prevalence rate of ICCA of the right coronary artery (RCA). We describe several cases of ICCA that were noted incidentally and also determine the overall prevalence rate of anomalous ICCA. Materials and Methods: A retrospective analysis of ICCA was performed consisting of consecutive CCTA cases as well as a group of ICCA from teaching files. To establish a prevalence rate, we reviewed 464 consecutive CCTA referred to our center for transcatheter aortic valve replacement. The presence of ICCA and several imaging features were evaluated. Results: Our cohort comprises a total of 12 patients with ICCA, with 1 patient containing 2 anomalous ICCA. 83.3% of affected patients were adult males, with an average age of 69.8 years. The RCA was the most commonly affected vessel (53.8%). The mean length of the intracavitary segment was 33.4 mm for the RCA and 27 mm for the LAD. No cases involved the left circumflex coronary artery. Six of the cases were identified routinely as part of clinical practice and therefore not included in the prevalence analysis. On review of our transcatheter aortic valve replacement database, there was a 1.3% prevalence rate of ICCA. RCA had a prevalence of 0.4%, whereas LAD had a prevalence of 0.9%. Conclusions: Although rare, our study suggests that ICCA may be more common than previously described. Its presence is important to communicate to clinicians prior to invasive cardiac procedures to prevent potentially catastrophic outcomes.

KW - coronary artery anomaly

KW - coronary computed tomography angiography

KW - intracavitary coronary artery

UR - http://www.scopus.com/inward/record.url?scp=85064896142&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064896142&partnerID=8YFLogxK

U2 - 10.1097/RTI.0000000000000418

DO - 10.1097/RTI.0000000000000418

M3 - Article

C2 - 31033626

AN - SCOPUS:85064896142

JO - Journal of Thoracic Imaging

JF - Journal of Thoracic Imaging

SN - 0883-5993

ER -