CORONARY VENOUS SYSTEM DISEASES

Coronary_Venous_System_Diseases

EVALUATION OF THE CORONARY VENOUS SYSTEMUSING COMPUTED TOMOGRAPHY

Abdallah Almaghraby

Ibrahim Bin Hamad Obaidallah Hospital, Department of Cardiology , Ras Al Khaimah, United Arab Emirates

Almaghraby A. Evaluation of the Coronary Venous System Using Computed Tomography. In: Altay S, Akşit E, Kemaloğlu Öz T editor. Coronary Venous System Diseases. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.63-71.

ABSTRACT

The knowledge of coronary venous anatomy and anomalies is required in some cardiac procedures such as left ventricular pacing, arrhythmia ablation and targeted drug therapy. There are many vari- ations of the coronary venous anatomy from subject to subject where everyone may have his own coronary venous print that is not repeated in others. Also, coronary venous tree is not static as some coronary veins may disappear after myocardial infarction (MI). Using appropriate protocols, optimum contrast bolus dose and timing, electrocardiographic (ECG) gated multidetector computed tomography (CT) can be used as a non-invasive tool for the assessment of coronary venous anatomy with excellent resolution which can be useful for pre-procedural planning of some cardiac interventions. Adequate depiction of the coronary venous system can be achieved by modifying the CT coronary angiography technique such that data acquisition occurs 2-3 seconds later than normal. In this chapter, we will try to review both normal and variant coronary venous anatomy as assessed by CT.

Keywords: Coronary veins; Computed tomography; Venous system; Cardiac interventions

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