Imaging and Management of Coronary Artery Anomalies

Purpose of reviewTo highlight imaging features of coronary artery anomalies, especially those that may require surgical intervention, and review various management options.Recent findingsThe clinical presentation of coronary artery anomalies ranges from clinically silent lesions to those leading to sudden cardiac death. With the evolution and increasing use of advanced imaging techniques such as computed tomography, more cases are being identified on scans either done specifically for this purpose or discovered incidentally. Management decisions can be complex and often require a multidisciplinary approach.SummaryIn this article, we review advances in imaging techniques, the spectrum of imaging appearances of coronary artery anomalies, and the role of imaging in directing appropriate management as well as post-operative follow-up.