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Revista chilena de radiología

versión On-line ISSN 0717-9308


RAMIREZ R., Felipe et al. Evaluation of the Hemodynamically Significant Congenital anomalies of Coronary Arteries. Rev. chil. radiol. [online]. 2018, vol.24, n.4, pp.142-150. ISSN 0717-9308.

Coronary artery anomalies are rare, with a prevalence ranging from 0.21 to 5.79%. Their clinical presentation is variable; being either asymptomatic or presenting as myocardial ischemia and sudden death, which may or may not be linked to exercise. There are several classifications, the most commonly used being those that sort them from an anatomical point of view in relation to the affected segment (origin, course or termination) and from a functional point of view (hemodynamically significant and not significant). Currently, Cardiac Computed Tomography is considered the reference standard allowing an adequate characterization of the anomaly, which is highly relevant since, if treatment is needed, it usually involves surgery. The purpose of this review is to identify, characterize and classify congenital anomalies of the coronary arteries according to their hemodynamic significance through the presentation of clinical cases and review of the literature.

Palabras clave : Coronary artery; Congenital anomalies; Hemodinamically significant.

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