Coronary Angiography

and Horia Ples2



(1)
Department of Computed Tomography, SCM Neuromed, Timisoara, Romania

(2)
Department of Neurosurgery, University of Medicine and Pharmacy “Victor Babes”, Timisoara, Romania

 





4.1 Normal Arteriae Coronariae




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Fig. 4.1
Coronary CT angiography – 3D VRT colour reconstruction

1. Aorta

2. A. coronaria sinistra

3. R. circumflexus

4. R. atrialis intermedius

5. A. interventricularis anterior

6. A. coronaria dextra

7. A. interventricularis posterior

8. Ventriculus sinister


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Fig. 4.2
Coronary CT angiography 3D VRT reconstruction

1. Aorta

2. A. coronaria sinistra

3. R. circumflexus

4. R. atrialis intermedius

5. R. marginalis sinister

6. R. interventricularis anterior

7. A. coronaria dextra


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Fig. 4.3
Coronary CT angiography 3D VRT reconstruction

1. Auricula sinister

2. R. circumflexus

3. R. marginalis sinister

4. R. interventricularis anterior

5. R. lateralis


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Fig. 4.4
Coronary CT angiography 3D VRT reconstruction

1. Aorta

2. A. coronaria sinistra

3. R. circumflexus

4. R. interventricularis anterior

5. R. marginalis anterior


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Fig. 4.5
Coronary CT angiography 3D VRT reconstruction

1. A. coronaria dextra

2. R. interventricularis anterior

3. R. diagonalis

4. Arteria marginalis dexter


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Fig. 4.6
Coronary CT angiography 3D VRT reconstruction

1. Aorta

2. A. coronaria dextra

3. R. marginalis dexter

4. R. interventricularis anterior

5. A. coronaria sinistra

6. R. circumflexus


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Fig. 4.7
Coronary CT angiography 3D VRT reconstruction

1. Aorta

2. A. coronaria sinistra

3. R. marginalis sinister

4. R. atrialis intermedius

5. R. circumflexus

6. R. marginalis sinister

7. R. marginalis sinister


4.2 Abnormal Emergence of the R. Circumflexus




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Fig. 4.8
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. Truncus a. pulmonalis cut out during post-processing operation

3. R. interventricularis anterior

4. A. coronaria dextra

5. R. circumflexus with retroaortic course

6. Atrium sinistrum


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Fig. 4.9
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. R. interventricularis anterior

3. R. circumflexus

4. Atrium sinistrum

5. R. interventricularis anterior


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Fig. 4.10
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. Arteria coronaria dextra

3. R. circumflexus

4. Atrium sinistrum

5. R. interventricularis anterior


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Fig. 4.11
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. R. interventricularis anterior

3. R. lateralis

4. A. coronaria dextra

5. R. circumflexus

6. Atrium sinistrum


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Fig. 4.12
Angiography 3D MIP reconstruction

1. Aorta

2. R. circumflexus with retroaortic course anterior from the atrium sinistrum

3. Atrium sinistrum

4. A. pulmonalis


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Fig. 4.13
Angiography 3D MIP reconstruction

1. Aorta

2. Atrium sinistrum

3. A. coronaria dextra

4. R. circumflexus

5. R. interventricularis anterior

6. Separate ostium of the two arteriae coronariae (a. coronaria dextra and r. circumflexus)


4.3 Abnormal Emergence of the A. Coronaria Dextra Placed on the Posterior Aortic Wall




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Fig. 4.14
Coronary CT angiography 3D VRT colour reconstruction

 1. Aorta

 2. Truncus a. coronaria sinistra

 3. R. circumflexus

 4. R. atrialis intermedius

 5. R. marginalis sinister

 6. R. interventricularis anterior

 7. R. lateralis

 8. A. coronaria dextra

 9. R. marginalis dexter

10. Truncus a. pulmonalis


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Fig. 4.15
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. Emergent a. coronaria dextra sided on the posterior aortic wall above the sinus aortae


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Fig. 4.16
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. Emergent a. coronaria dextra sided on the posterior aortic wall above the sinus aortae

3. R. marginalis dexter


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Fig. 4.17
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. A. coronaria dextra


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Fig. 4.18
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. A. coronaria dextra

3. Non-coronary cuspis of the sinus aortae

4. Right coronary cuspis, in this case a non-coronary cuspis due to the abnormal emergence of the a. coronaria dextra


4.4 Emergence Through Separate Ostium of the Three A. Coronariae




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Fig. 4.19
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. A. coronaria sinistra

3. A. pulmonalis

4. R. lateralis

5. R. circumflexus

6. R. marginalis sinister

7. R. marginalis sinister


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Fig. 4.20
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. A. pulmonalis

3. A. coronaria dextra

4. R. interventricularis anterior

5. R. lateralis

6. R. circumflexus

7. R. marginalis sinister


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Fig. 4.21
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. A. coronaria dextra

3. R. interventricularis anterior

4. R. lateralis

5. R. circumflexus

6. R. marginalis sinister

7. A pulmonalis


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Fig. 4.22
Coronary CT angiography 3D VRT colour reconstruction

1. The aorta with three separated ostium emergencies of the a. coronaria

2. A. coronaria dextra

3. R. interventricularis anterior

4. R. circumflexus


4.5 Abnormal A. Coronaria dextra emergence from the Truncus A. Pulmonalis




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Fig. 4.23
Coronary CT angiography 3D VRT colour reconstruction

1. Aorta

2. Truncus a. pulmonalis

3. A. coronaria dextra

4. A. coronaria sinistra

5. Auricula dextra

6. Vena cava superior

7. Auricula sinistra


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Fig. 4.24
3D VRT colour reconstruction

1. Aorta

2. Truncus a. pulmonalis

3. A. coronaria dextra

4. A. coronaria sinistra

5. Auricula dextra

6. Vena cava superior


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Fig. 4.25
3D VRT colour reconstruction

Full arrow = a. coronaria dextra

Arrow with contour = r.interventricularis posterior

The tip of the arrow = r. posterolateralis dexter


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Fig. 4.26
3D VRT colour reconstruction

1. Truncus a. pulmonalis

2. A. coronaria sinistra

3. A. interventricularis anterior

4. Aorta

5. R. circumflexus


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Fig. 4.27
3D VRT colour reconstruction

1. Truncus a. pulmonalis

2. A. coronaria sinistra

3. A. interventricularis anterior

4. R. circumflexus

5. Aorta

6. A. coronaria dextra


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Fig. 4.28
3D MPR reconstruction

1. Truncus a. coronaria sinistra + r. interventricularis anterior

2. A. pulmonalis

3. Aorta


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Fig. 4.29
3D MIP reconstruction

1. Aorta

2. Truncus a. pulmonalis

3. Truncus a. coronaria sinistra


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Fig. 4.30
3D MIP reconstruction

1. Aorta

2. Truncus a. pulmonalis

3. Truncus a. coronaria sinistra


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Fig. 4.31
3D MIP reconstruction

1. Aorta

2. A. coronaria dextra

3. A. pulmonalis

4. Truncus a. coronaria sinistra


4.6 Coronary and Aortopulmonary Fistulas




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Fig. 4.32
Coronary CT angiography 3D VRT

1. Aorta

2. Truncus a. pulmonalis

3. A. coronaria dextra

4. R. interventricularis

5. R. lateralis

6. Fistulous course between r. interventricularis anterior and a. pulmonalis

7. Aneurysmal dilatation at the confluence level of the fistulas’ course


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Fig. 4.33
Coronary CTA 3D VRT

1. Auricula sinistra

2. Fistula

3. Aneurysm

4. R. interventricularis anterior

5. R. lateralis

6. R. circumflexus

7. R. marginalis sinister

8. R. marginalis sinister


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Fig. 4.34
Coronary CTA 3D VRT

1. Aorta

2. A. coronaria dextra

3. R. marginalis dexter

4. Frontal aorta emergent fistulous course

5. R. interventricularis anterior

Aug 20, 2016 | Posted by in NUCLEAR MEDICINE | Comments Off on Coronary Angiography
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