Anomalías de arterias coronarias. Evaluación por angiotomografía cardíaca multidetector y otras técnicas de imagen cardíaca

Autores/as

  • José María Hernández-Hernández Servicio de Cardiología, Especialidad en imagen cardíaca. Doctors Hospital. Monterrey. Nuevo León. México
  • Denisse Guzmán-Ramírez Servicio de Cardiología, Especialidad en imagen cardíaca. Oca Hospital. Monterrey. Nuevo León. México
  • Rolando Enriquez-Rodríguez ervicio de Cardiología, Especialidad en imagen cardíaca. Doctors Hospital. Monterrey. Nuevo León. México

DOI:

https://doi.org/10.37615/retic.n5a3

Palabras clave:

anomalías de arterias coronarias, angiotomografía coronaria multidetector, muerte súbita, técnicas de imagen cardíaca.

Resumen

Las anomalías coronarias se presentan en 1,7% de la población general y causan el 33% de las muertes súbitas en personas jóvenes durante un esfuerzo extenuante. El uso de técnicas de imagen cardíaca ha permitido expandir el conocimiento sobre el diagnóstico de estas anomalías. Existen tres tipos de acuerdo a la clasificación de Greenberg: anomalías de origen, de curso y de terminación. Las de mayor importancia son las que causan alteraciones hemodinámicas y son la atresia coronaria, la anomalía de la arteria coronaria izquierda desde la arteria pulmonar/ anomalía de la arteria coronaria derecha desde la
arteria pulmonar, el curso interarterial cuando nacen del seno coronario opuesto, las fístulas coronarias y las ectasias coronarias. La evaluación por angiotomografía coronaria multidetector permite caracterizarlas desde el ostium hasta su terminación, y para demostrar las consecuencias clínicas en el paciente existen técnicas de imagen como la resonancia magnética cardíaca de estrés, la ecocardiografía de estrés, la tomografía computarizada por emisión de fotón único y la angiografía coronaria con evaluación por flujo de reserva coronaria o radio instantáneo de onda libre que permiten definir el tratamiento.

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Citas

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Publicado

2017-08-30

Cómo citar

1.
Hernández-Hernández JM, Guzmán-Ramírez D, Enriquez-Rodríguez R. Anomalías de arterias coronarias. Evaluación por angiotomografía cardíaca multidetector y otras técnicas de imagen cardíaca. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 30 de agosto de 2017 [citado 18 de junio de 2024];(5):13-21. Disponible en: https://imagenretic.org/RevEcocarPract/article/view/463