{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:39:49Z","timestamp":1792154389226,"version":"4.4.0"},"reference-count":9,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiol Bras"],"abstract":"<jats:p>Abstract Coronary arteries originating from the contralateral (noncoronary) sinus and having an interarterial course, in which they run from the ascending aorta to the pulmonary trunk, is a potentially fatal anomaly. Computed tomography (CT) angiography facilitates the recognition and therapeutic planning of such anomalies because of its ability to acquire high-resolution images of the entire course of the coronary artery, as well as of the accompanying atherosclerotic involvement. The right coronary artery originating from the left coronary sinus is the most prevalent anomaly of this type and usually implies a better prognosis, the interarterial course being classified as \"high\" or \"low\", depending on whether it is above or below the level of the pulmonary valve, with consequent stratification of the risk and the treatment. However, it is known that there is a high risk of sudden death among patients with a left coronary artery of anomalous origin from the right sinus. In such cases, surgical treatment is recommended, regardless of whether there are symptoms or evidence of ischemia. Given the importance of those aspects, which can be identified on CT of the chest or CT angiography of the aorta, this pictorial essay aims to illustrate such anomalies to facilitate their recognition and description by radiologists who are not specialists in cardiac imaging.<\/jats:p>","DOI":"10.1590\/0100-3984.2017.0203","type":"journal-article","created":{"date-parts":[[2019,6,12]],"date-time":"2019-06-12T15:35:24Z","timestamp":1560353724000},"page":"193-197","source":"Crossref","is-referenced-by-count":14,"title":["Anomalous origin of coronary arteries with an interarterial course: pictorial essay"],"prefix":"10.1590","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5907-0228","authenticated-orcid":false,"given":"Ana Fl\u00e1via Pina","family":"Ferreira","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4614-976X","authenticated-orcid":false,"given":"Sharon","family":"Rosemberg","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9454-1315","authenticated-orcid":false,"given":"Daniel Sim\u00f5es","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8627-3661","authenticated-orcid":false,"given":"Jos\u00e9 de Arimat\u00e9ia Batista","family":"Araujo-Filho","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-6614","authenticated-orcid":false,"given":"Cesar Higa","family":"Nomura","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1053\/j.ro.2008.01.005","article-title":"Normal and anomalous anatomy of coronary arteries","volume":"43","author":"Patel S","year":"2008","journal-title":"Semin Roentgenol"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5935\/abc.2014S006","article-title":"II Diretriz de Resson\u00e2ncia Magn\u00e9tica e Tomografia Computadorizada Cardiovascular da Sociedade Brasileira de Cardiologia e do Col\u00e9gio Brasileiro de Radiologia","volume":"103","author":"Sara L","year":"2014","journal-title":"Arq Bras Cardiol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1148\/rg.262055068","article-title":"Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation","volume":"26","author":"Kim SY","year":"2006","journal-title":"Radiographics"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1590\/0100-3984.2016.0181","article-title":"Detection of coronary artery calcification with nontriggered computed tomography of the chest","volume":"51","author":"Pelandr\u00e9 GL","year":"2018","journal-title":"Radiol Bras"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1590\/0100-3984.2015.0235","article-title":"Coronary artery calcium score: current status","volume":"50","author":"Neves PO","year":"2017","journal-title":"Radiol Bras"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"v","DOI":"10.1590\/0100-3984.2018.51.1e1","article-title":"Deriving the coronary artery calcium score from computed tomography of the chest","volume":"51","author":"Trad HS","year":"2018","journal-title":"Radiol Bras"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1007\/s00330-014-3454-9","article-title":"Anatomical criteria of malignancy by computed tomography angiography in patients with anomalous coronary arteries with an interarterial course","volume":"25","author":"Ashrafpoor G","year":"2015","journal-title":"Eur Radiol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1148\/radiol.11110823","article-title":"Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance","volume":"262","author":"Lee HJ","year":"2012","journal-title":"Radiology"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.1016\/j.jacc.2008.10.001","article-title":"ACC\/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). 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