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  • Open Access

    CASE REPORT

    Fate of Right Coronary Artery Occlusion after a Surgically Repaired Aorto-Ventricular Tunnel in a Neonate

    Sherif Negm1,2, Loic Mace1, Fedoua El Louali3, Beatrice Desnous4, Philipe Aldebert3, Virginie Fouilloux1, Marien Lenoir1,*

    Congenital Heart Disease, Vol.19, No.3, pp. 267-273, 2024, DOI:10.32604/chd.2024.051642 - 26 July 2024

    Abstract The aorto-ventricular tunnel is a rare congenital cardiac anomaly. We present a case of aorto-ventricular tunnel diagnosed via fetal echocardiography. Emergency surgery was performed on the 2nd day of life to close the tunnel, located just in front of the right coronary ostium, due to the patient’s unstable health condition. The postoperative period revealed complete occlusion of the right coronary artery. Due to the patient’s stability, we opted not to reintervene on the right coronary artery. The patient fully recovered without the need for further coronary intervention. In cases of patients with an aorto-ventricular tunnel More >

  • Open Access

    ARTICLE

    High Prevalence of Anatomical Variations and Anomalies of the Coronary Arteries Detected by CT Angiography in Symptomatic Patients

    Ghazi A. Alshumrani*

    Congenital Heart Disease, Vol.19, No.2, pp. 197-206, 2024, DOI:10.32604/chd.2024.049401 - 16 May 2024

    Abstract Objective: Coronary artery anatomical variations and anomalies are an important topic due to their potential clinical manifestations. This study aims to investigate the prevalence of coronary artery anatomical variations and anomalies in symptomatic patients with coronary computed tomography angiography (CCTA). Methods: This is a retrospective study that included all symptomatic patients who had CCTA in a tertiary care hospital in Saudi Arabia during a period of seven years. Results: The total number of included patients was 507 (60% males) with a mean age of 57.4 years. Approximately 41% had luminal stenoses, averaging 49.7%. The total number… More >

  • Open Access

    ARTICLE

    A Robust Tuned Random Forest Classifier Using Randomized Grid Search to Predict Coronary Artery Diseases

    Sameh Abd El-Ghany1,2, A. A. Abd El-Aziz1,3,*

    CMC-Computers, Materials & Continua, Vol.75, No.2, pp. 4633-4648, 2023, DOI:10.32604/cmc.2023.035779 - 31 March 2023

    Abstract Coronary artery disease (CAD) is one of the most authentic cardiovascular afflictions because it is an uncommonly overwhelming heart issue. The breakdown of coronary cardiovascular disease is one of the principal sources of death all over the world. Cardiovascular deterioration is a challenge, especially in youthful and rural countries where there is an absence of human-trained professionals. Since heart diseases happen without apparent signs, high-level detection is desirable. This paper proposed a robust and tuned random forest model using the randomized grid search technique to predict CAD. The proposed framework increases the ability of CAD… More >

  • Open Access

    ARTICLE

    Vessels Segmentation in Angiograms Using Convolutional Neural Network: A Deep Learning Based Approach

    Sanjiban Sekhar Roy1, Ching-Hsien Hsu2,3,4,*, Akash Samaran1, Ranjan Goyal1, Arindam Pande5, Valentina E. Balas6

    CMES-Computer Modeling in Engineering & Sciences, Vol.136, No.1, pp. 241-255, 2023, DOI:10.32604/cmes.2023.019644 - 05 January 2023

    Abstract Coronary artery disease (CAD) has become a significant cause of heart attack, especially among those 40 years old or younger. There is a need to develop new technologies and methods to deal with this disease. Many researchers have proposed image processing-based solutions for CAD diagnosis, but achieving highly accurate results for angiogram segmentation is still a challenge. Several different types of angiograms are adopted for CAD diagnosis. This paper proposes an approach for image segmentation using Convolution Neural Networks (CNN) for diagnosing coronary artery disease to achieve state-of-the-art results. We have collected the 2D X-ray… More >

  • Open Access

    CASE REPORT

    A Rare Case of Transcatheter Closure of Both Inlet and Outlet of a Left Coronary Artery-to-Left Ventricular Fistula with Giant Coronary Artery Aneurysm

    Yifan Li1, Zewen Chen2, Jian Zhuang2, Zhiwei Zhang1,*

    Congenital Heart Disease, Vol.17, No.5, pp. 541-549, 2022, DOI:10.32604/chd.2022.024907 - 06 September 2022

    Abstract A congenital coronary artery fistula (CCAF) combined with giant coronary aneurysm (CAA) is a rare congenital cardiac abnormality. We reported an 8-year-old patient who underwent transcatheter closure of both inlet and outlet of a proximal left coronary artery (LCA)-to-left ventricular (LV) fistula with CAA of 41 mm × 28 mm in diameter, during which acute occlusion of left anterior descending coronary artery (LAD) occurred immediately after device implantation at the inlet of fistula. We managed to prevent the patient from major adverse cardiac events by conservative therapy with dual antiplatelet agents instead of surgical removal More > Graphic Abstract

    A Rare Case of Transcatheter Closure of Both Inlet and Outlet of a Left Coronary Artery-to-Left Ventricular Fistula with Giant Coronary Artery Aneurysm

  • Open Access

    ARTICLE

    Transfer Learning for Disease Diagnosis from Myocardial Perfusion SPECT Imaging

    Phung Nhu Hai1, Nguyen Chi Thanh1,*, Nguyen Thanh Trung2, Tran Trung Kien1

    CMC-Computers, Materials & Continua, Vol.73, No.3, pp. 5925-5941, 2022, DOI:10.32604/cmc.2022.031027 - 28 July 2022

    Abstract Coronary artery disease (CAD) is one of the most common pathological conditions and the major global cause of death. Myocardial perfusion imaging (MPI) using single-photon emission computed tomography (SPECT) is a non-invasive method and plays an essential role in diagnosing CAD. However, there is currently a shortage of doctors who can diagnose using SPECT-MPI in developing countries, especially Vietnam. Research on deploying machine learning and deep learning in supporting CAD diagnosis has been noticed for a long time. However, these methods require a large dataset and are therefore time-consuming and labor-intensive. This study aims to… More >

  • Open Access

    ARTICLE

    Congenital Coronary Artery Fistula in Children: A Review of 28 Cases with Clinical and Imaging Outcomes

    Pornrawee Plearntummakun1, Chodchanok Vijarnsorn1,*, Kritvikrom Durongpisitkul1, Prakul Chanthong1, Paweena Chungsomprasong1, Supaluck Kanjanauthai1, Thita Pacharapakornpong1, Jarupim Soongswang1, Thaworn Subtaweesin2

    Congenital Heart Disease, Vol.17, No.4, pp. 463-478, 2022, DOI:10.32604/chd.2022.021545 - 04 July 2022

    Abstract Background: Congenital coronary artery fistula (CCAF) is a rare anomaly. Treatment strategies tend to close the defect with a symptomatic and significant shunt, primarily based on expert consensus and case series. Results for long-term follow-up in children are limited Methods: We conducted a retrospective study to assess clinical and imaging outcomes of children with CCAF at Siriraj Hospital, Thailand during 2000–2020. Patients with single ventricle were excluded. Treatment strategies [surgical closure (SC), and percutaneous closure (PC)] were classified and the clinical outcomes at the follow-up in 2021, including coronary thrombosis, myocardial ischemia, and the results of… More > Graphic Abstract

    Congenital Coronary Artery Fistula in Children: A Review of 28 Cases with Clinical and Imaging Outcomes

  • Open Access

    ARTICLE

    Coronary Artery Anomalies in D-Transposition of the Great Artery Following Arterial Switch Operation

    Thita Pacharapakornpong, Jarupim Soongswang*, Chodchanok Vijarnsorn, Paweena Chungsomprasong, Kritvikrom Durongpisitkul, Prakul Chanthong, Supaluck Kanjanauthai

    Congenital Heart Disease, Vol.17, No.3, pp. 297-311, 2022, DOI:10.32604/chd.2022.019279 - 03 May 2022

    Abstract Background: The survival rate of patients following arterial switch operation (ASO) exceeds 95%, but coronary artery anomalies (CAA) contribute to a 2% incidence of sudden cardiac arrest later in life. Therefore, we aimed to assess abnormal findings of coronary arteries in post-ASO patients. Methods: Coronary computed tomography angiography (CCTA) is performed on post-ASO patients who meet institutional criteria. Intraoperative findings of coronary artery patterns were retrospectively reviewed and categorized using the Leiden classification system. Coronary artery anomalies were detected by CCTA and associations with coronary artery compromise were explored. Results: Forty-three patients who had CCTA with a… More >

  • Open Access

    ARTICLE

    Coronary Artery Complications after Right Ventricular Outflow Tract Reconstruction Surgery

    Hye Won Kwon1,2, Mi Kyoung Song1, Sang Yun Lee1, Gi Beom Kim1, Sungkyu Cho2, Jae Gun Kwak2, Woong-Han Kim2, Whal Lee3, Eun Jung Bae1,*

    Congenital Heart Disease, Vol.17, No.3, pp. 281-295, 2022, DOI:10.32604/chd.2022.019065 - 03 May 2022

    Abstract Background: Mechanisms and clinical manifestations of coronary artery complications after right ventricular outflow tract reconstruction surgery are not well known. Methods: Patients who had coronary artery complications after pulmonary valve replacement or the Rastelli procedure at a single tertiary centre were retrospectively analysed. Results: Coronary artery complications were identified in 20 patients who underwent right ventricular outflow tract reconstruction surgery. The median age at diagnosis of coronary artery complication was 21 years (interquartile range: 13–25 years). Mechanisms of coronary artery complications were compression by adjacent materials in 12 patients, dynamic compression of intramural course of coronary artery… More >

  • Open Access

    ARTICLE

    Computer Aided Coronary Atherosclerosis Plaque Detection and Classification

    S. Deivanayagi1,*, P. S. Periasamy2

    Intelligent Automation & Soft Computing, Vol.34, No.1, pp. 639-653, 2022, DOI:10.32604/iasc.2022.025632 - 15 April 2022

    Abstract Coronary artery disease (CAD) remains a major reason for increased mortality over the globe, comprising myocardial infarction and ischemic cardiomyopathy. The CAD is highly linked to coronary stenosis owing to the encumbrance of atherosclerotic plaques. Particularly, diversified atherosclerotic plaques are highly responsible for major cardiac adverse events over the calcified and non-calcified plaques. There, the recognition and classification of atherosclerotic plaques play a vital role to prevent and intervene in CAD. The process of detecting various class labels of the atherosclerotic plaques is significant to identify the disease at the earlier stages. Since several automated… More >

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