The prevalence of coronary anomalies in a single center of Korea: origination, course, and termination anomalies of aberrant coronary arteries detected by ECG-gated cardiac MDCT

The term “coronary artery anomalies” encompasses a large and heterogeneous group of disorders that may affect origin, intrinsic anatomy, course, location, and termination of the coronary arteries. With these different anatomies, presentation, symptoms, and outcomes are heterogeneous as well. While significant efforts are directed toward improving diagnosis and risk-stratification, best evidence-guided practices remain in evolution. Data about anesthetic management of patients with coronary anomalies are lacking as well. This review aims to provide the anesthesiologist with a better understanding of an important subgroup of coronary artery anomalies: anomalous aortic origin of a coronary artery. We will discuss classification, pathophysiology, incidence, evaluation, management, and anesthetic implications of this potentially fatal disease group.

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Ischaemic heart disease: coronary artery anomalies

10.1093/med/9780198726012.003.0030 ◽

2016 ◽

Author(s):

Eugenio Picano ◽

Fausto Pinto ◽

Blazej Michalski

Keyword(s):

Coronary Artery ◽

Coronary Arteries ◽

Cardiac Death ◽

Incidental Finding ◽

Superior Vena ◽

Vena Cava ◽

Coronary Anomalies ◽

Coronary Artery Anomalies ◽

Venous Structure ◽

Coronary Artery Segment

Coronary anomalies occur in less than 1% of the general population and their clinical presentation can range anywhere from a benign incidental finding to the cause of sudden cardiac death. Since congenital coronary arteries anomalies are often considered as the first cause of cardiac death in young athletes in Europe, careful attention has to be paid in this specific subpopulation in case of suggestive symptoms. Although focused expert echocardiography is the first-line imaging tool, coronary computed tomography or radiation-free magnetic resonance imaging are recommended for more definitive definition of the coronary course in persons suspected of having coronary artery anomalies. Most coronary anomalies belong to the group of anomalous origin. Aneurysms are defined as dilations of a coronary vessel 1.5 times the normal adjacent coronary artery segment. Coronary artery fistulas are communications between one or more coronary arteries and a cardiac chamber (coronary-cameral), the pulmonary artery, or a venous structure (such as the sinus or superior vena cava).

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A Rare Coincidence of Two Coronary Anomalies in an Adult

Cardiology Research and Practice ◽

10.4061/2010/376067 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 4

Author(s):

Cesar Cruz ◽

Dalton Mclean ◽

Matthew Janik ◽

Paolo Raggi ◽

A. Maziar Zafari

Keyword(s):

Computed Tomography ◽

Case Report ◽

Chest Pain ◽

Coronary Angiography ◽

Coronary Arteries ◽

Coronary Anomalies ◽

Left Main ◽

Atypical Chest Pain ◽

Selective Coronary Angiography ◽

Type Iv

Anomalous right-sided left main coronary arteries and dual type IV left anterior descending arteries are rare coronary anomalies. In this case report, we present a 59 year old man with atypical chest pain and a combination of the above coronary anomalies as identified by selective coronary angiography and computed tomography angiography. To the best of our knowledge, the coincidence of these coronary anomalies has not been previously described.

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A single-center experience of detecting coronary anomalies on 64-slice computed tomography

Journal of Cardiovascular Medicine ◽

10.2459/jcm.0b013e32832e66af ◽

2009 ◽

Vol 10 (11) ◽

pp. 842-847 ◽

Cited By ~ 10

Author(s):

Mark Girzadas ◽

Peter Varga ◽

Khaled Dajani

Keyword(s):

Computed Tomography ◽

Single Center ◽

Coronary Anomalies ◽

Single Center Experience

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Investigation of Anomalous Origin of Coronary Arteries in 8366 Adult Patients Who Had Coronary Angiography: A Single Center Study

Cyprus Journal of Medical Sciences ◽

10.5152/cjms.2021.2077 ◽

2021 ◽

Author(s):

Fatma Yilmaz Coskun ◽

Keyword(s):

Coronary Angiography ◽

Coronary Arteries ◽

Adult Patients ◽

Anomalous Origin ◽

Single Center ◽

Single Center Study ◽

Center Study

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Corridor technique for coronary arteries from a single arterial sinus

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492320937506 ◽

2020 ◽

Vol 28 (6) ◽

pp. 333-335

Author(s):

Kota Agematsu ◽

Mitsugi Nagashima ◽

Yoshiharu Nishimura ◽

Takashi Higaki

Keyword(s):

Coronary Artery ◽

Coronary Arteries ◽

Arterial Switch Operation ◽

Early Mortality ◽

Single Coronary Artery ◽

Coronary Anomalies ◽

Arterial Switch ◽

Switch Operation ◽

Late Morbidity ◽

Independent Risk Factors

The introduction of the arterial switch operation has improved the surgical outcome of transposition of the great arteries. However, coronary anomalies such as intramural coronary arteries, single coronary artery, or coronary arteries originating from a single arterial sinus have been reported as independent risk factors for early mortality and late morbidity after an arterial switch operation. We performed an arterial switch operation using a unique technique for translocation of the coronary arteries originating from a single left-side arterial sinus, to prevent coronary artery distortion and subsequent coronary malperfusion.

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