{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T08:44:11Z","timestamp":1778575451263,"version":"3.51.4"},"reference-count":13,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:00:00Z","timestamp":1727308800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009687","name":"Wroclaw Medical University","doi-asserted-by":"publisher","award":["SUBZ.E264.24.033"],"award-info":[{"award-number":["SUBZ.E264.24.033"]}],"id":[{"id":"10.13039\/501100009687","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>The artery of Kugel is defined as a rare anatomical variant of the coronary arteries. It consists of an anastomotic connection between the branches of the right coronary artery (RCA) and the left circumflex artery (LCx). In patients with coronary artery occlusion, the presence of this connection bypassing the area of the occluded vessel may be a factor that prevents significant necrosis of a specific area of the myocardium. Most cases are detected by invasive coronary angiography. We present images from coronary computed tomography angiography (CCTA), which documented the existence of Kugel\u2019s artery in a 67-year-old patient with subtotal stenosis of the left main artery. The presented images clearly indicate that CCTA can visualize the existing rescue collateral circulation in patients with significant coronary artery disease.<\/jats:p>","DOI":"10.3390\/diagnostics14192142","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T09:46:20Z","timestamp":1727343980000},"page":"2142","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Kugel\u2019s Artery in Coronary Computed Tomography Angiography in a Patient with Left Main Subtotal Stenosis"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8366-0239","authenticated-orcid":false,"given":"Pawe\u0142","family":"Ga\u0107","sequence":"first","affiliation":[{"name":"Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wroc\u0142aw, Poland"},{"name":"Department of Environmental Health, Occupational Medicine and Epidemiology, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-345 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"G\u0142uszczyk","sequence":"additional","affiliation":[{"name":"Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakub","family":"Plizga","sequence":"additional","affiliation":[{"name":"Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiktoria","family":"Bi\u0144czyk","sequence":"additional","affiliation":[{"name":"Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olgierd","family":"Dr\u00f3\u017cd\u017c","sequence":"additional","affiliation":[{"name":"Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafa\u0142","family":"Por\u0119ba","sequence":"additional","affiliation":[{"name":"Centre of Diagnostic Imaging, 4th Military Hospital, Weigla 5, 50-981 Wroc\u0142aw, Poland"},{"name":"Department of Angiology and Internal Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,26]]},"reference":[{"key":"ref_1","first-page":"267","article-title":"Kugel\u2019s artery: An anatomical and angiographic study using a new technique","volume":"31","author":"Nerantzis","year":"2004","journal-title":"Tex. 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Imaging"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1148\/radiol.2461070030","article-title":"Arterial supply to sinuatrial and atrioventricular nodes: Imaging with multidetector CT","volume":"246","author":"Saremi","year":"2008","journal-title":"Radiology"},{"key":"ref_6","unstructured":"Vrints, C., Andreotti, F., Koskinas, K.C., Rossello, X., Adamo, M., Ainslie, J., Banning, A.P., Budaj, A., Buechel, R.R., and Chiariello, G.A. (Eur. Heart J., 2024). 2024 ESC Guidelines for the management of chronic coronary syndromes, Eur. Heart J., ahead of print."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Xie, Q., Zhou, L., Li, Y., Zhang, R., Wei, H., Ma, G., Tang, Y., and Xiao, P. (2023). Comparison of prognosis between coronary computed tomography angiography versus invasive coronary angiography for stable coronary artery disease: A systematic review and meta-analysis. Front. Cardiovasc. 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Pharmacol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"535","DOI":"10.4244\/EIJ-D-21-01117","article-title":"Recanalisation of coronary chronic total occlusions","volume":"18","author":"Mashayekhi","year":"2022","journal-title":"EuroIntervention"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/19\/2142\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:04:10Z","timestamp":1760112250000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/19\/2142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,26]]},"references-count":13,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["diagnostics14192142"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14192142","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,26]]}}}