E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood, Basma Gamal El minisy, Dalia swelem saad-zaghlool.

Abstract
Background: Multidetector computed tomography (MDCT) coronary angiography is currently considered the ideal tool to three-dimensionally delineate the thoracic venous system, including Superior Vena Cava (SVC), Inferior Vena Cava (IVC), and Coronary Venous System (CVS). Knowledge of systemic venous variants and anomalies prior to surgical or interventional procedures is important to safely perform the procedure.
Aim: To assess the role of MDCT coronary angiography with multi-planar reformation (MPR) and three-dimensional (3D) reconstruction in depicting the variants and anomalies of the thoracic and coronary venous systems before electrophysiological or surgical interventions.
Method: The study was done in the period from June 2019 to February 2020 in Zagazig university hospitals. Sixty patients were enrolled (60% males and 40% females; mean age: 55.8712.02 years, range: 2671 years) who had MDCT coronary angiography using a 128-slice MDCT scanner (Ingenuity Phillips health care, best Netherlands).
Results: In our study, Coronary Sinus (CS), Anterior Interventricular Vein (AIV), Middle Cardiac Vein (MCV), and Great Cardiac Vein (GCV) were detected in all cases (100%). Posterior Vein of the Left Ventricle (PVLV) was seen in 96.7% of patients. Thebesian valve was depicted in (73%). Coronary venous system variants represent 20% of cases in the form of (double MCV variants represent 10%, MCV aneurysm represents 3%, and double PVLV variant represents 3.45%). At the same time, thoracic systemic venous abnormalities represent 50% of cases in the form of (interruption of IVC with azygos/hemiazygos continuation about 8.3%, IVC thrombosis about 5.0%, persistent left SVC about 16.7%, SVC thrombosis about 11.7% and SVC attenuation about 8.3%).
Conclusion: This study showed that MDCT coronary angiography is a non-invasive imaging modality in depicting the variants and anomalies of the thoracic systemic and coronary venous system before electrophysiological or surgical interventions.

Key words: Coronary venous system, MDCT coronary angiography, Thebesian valve, Superior Vena Cava, Inferior Vena Cava


 
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How to Cite this Article
Pubmed Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. J Cardiovasc. Dis. Res.. 2021; 12(4): 670-683. doi:10.31838/jcdr.2021.12.04.76


Web Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. http://www.jcdronline.org/?mno=99127 [Access: July 26, 2021]. doi:10.31838/jcdr.2021.12.04.76


AMA (American Medical Association) Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. J Cardiovasc. Dis. Res.. 2021; 12(4): 670-683. doi:10.31838/jcdr.2021.12.04.76



Vancouver/ICMJE Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. J Cardiovasc. Dis. Res.. (2021), [cited July 26, 2021]; 12(4): 670-683. doi:10.31838/jcdr.2021.12.04.76



Harvard Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool (2021) Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. J Cardiovasc. Dis. Res., 12 (4), 670-683. doi:10.31838/jcdr.2021.12.04.76



Turabian Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. 2021. Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. Journal of Cardiovascular Disease Research, 12 (4), 670-683. doi:10.31838/jcdr.2021.12.04.76



Chicago Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. "Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography." Journal of Cardiovascular Disease Research 12 (2021), 670-683. doi:10.31838/jcdr.2021.12.04.76



MLA (The Modern Language Association) Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool. "Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography." Journal of Cardiovascular Disease Research 12.4 (2021), 670-683. Print. doi:10.31838/jcdr.2021.12.04.76



APA (American Psychological Association) Style

Yomna Mohamed Allam, Aya Gamal Hassan, Rabab Mahmoud Elfwakhry, Mai Hassan Dawood , Basma Gamal El minisy, Dalia swelem saad-zaghlool (2021) Evaluation of Variants and Anomalies of Thoracic Systemic and Coronary Venous System Using Multi-Detector Computed Tomographic Angiography. Journal of Cardiovascular Disease Research, 12 (4), 670-683. doi:10.31838/jcdr.2021.12.04.76





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