scholarly journals Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India

2021 ◽  
Author(s):  
Ankit Bansal ◽  
Prattay Guha Sarkar ◽  
Mohit D. Gupta ◽  
MP Girish ◽  
Shekhar Kunal ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Incidental Finding ◽  
Tertiary Care ◽  
Coronary Artery Anomalies ◽  
Tertiary Care Centre ◽  
Main Trunk ◽  
Large Tertiary Care ◽  
European Society Of Cardiology ◽  
Coronary Angiograms ◽  
Arterial Anatomy

Coronary artery anomalies (CAAs) are a diverse group of disorders with varied clinical presentation and pathophysiological mechanisms. A majority of these anomalies are asymptomatic and often an incidental finding on coronary angiogram or autopsy. This retrospective study included 28,800 patients who underwent coronary angiography from 2016 to 2020. The coronary angiograms were reviewed by two independent reviewers and CAAs were documented. CAAs were classified into (a) anomalies of coronary artery connection, (b) anomalies of intrinsic coronary arterial anatomy and (c) anomalies of myocardial/coronary artery interaction as proposed by the European Society of Cardiology. Of the 28,800 coronary angiograms, CAAs were present in 4.12% with anomalies in the left coronary artery (LCA) being most common. Anomalies of coronary artery connection were most common (48.48%) followed by anomalies of myocardial/coronary artery interaction (34.49%) and anomalies of intrinsic coronary artery anatomy (17.03%). Among anomalies of coronary artery connection, absent left main trunk or split LCA with separate origins of left anterior descending coronary artery and left circumflex coronary artery from the left coronary sinus of Valsalva (22.59%) was most common. An intramural course or “myocardial bridge” had an incidence of 1.16%  while incidence of coronary artery fistulae (CAF) was 0.115%.

Small coronary artery fistulae in childhood: a 6-year experience of 31 cases in a tertiary paediatric cardiac centre

2015 ◽  
Vol 26 (4) ◽  
pp. 738-742 ◽  
Author(s):  
Eva Welisch ◽  
Kambiz Norozi ◽  
Liz Burrill ◽  
Ralf Rauch
Keyword(s):  
Coronary Artery ◽  
Incidental Finding ◽  
Tertiary Care ◽  
Coronary Artery Fistula ◽  
Paediatric Population ◽  
Tertiary Care Centre ◽  
Cardiac Defects ◽  
Asymptomatic Patients ◽  
Exercise Treadmill ◽  
Cardiac Centre

AbstractBackgroundThis study describes the incidence and course of children with small coronary artery fistulae over a period of 6 years who presented at a paediatric tertiary-care centre.Materials and methodsAge at diagnosis, mode of presentation, location (origin and drainage), and association with a cardiac defect were documented and analysed. All patients obtained an electrocardiogram, and older patients were further evaluated with an exercise treadmill test.ResultsA total of 31 patients were diagnosed with coronary artery fistula via transthoracic echocardiogram and comprised 0.43% of our entire patient group. Mean age was 6.14 years (standard deviation 5.4); 16 patients (52%) had associated cardiac defects. In the remaining 15 patients, the coronary artery fistula was discovered incidentally during diagnostic work-up for heart murmur or chest pain. Among all, 26 patients (84%) had left-sided and five patients (16%) had right-sided coronary artery fistulae. All right coronary artery fistula patients had associated cardiac defects; this was true for 42% of the patients with left coronary artery fistulae. None of the patients required any intervention due to the fistula, and spontaneous closure occurred in 12 patients (39%).ConclusionSmall coronary artery fistulae in children are frequently an incidental finding, and many will close spontaneously. Our data are supportive of a conservative, observant approach in asymptomatic patients with small coronary artery fistula in the paediatric population.

scholarly journals Coronary artery anomalies in North Indian population: a conventional coronary angiographic study

2017 ◽  
Vol 06 (04) ◽  
pp. 250-257
Author(s):  
Yogesh Diwan ◽  
Deepa Diwan ◽  
Randhir S. Chauhan ◽  
Prakash C. Negi
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Indian Population ◽  
Tertiary Care ◽  
Clinical Aspects ◽  
Single Coronary Artery ◽  
North Indian Population ◽  
Coronary Anomalies ◽  
Coronary Artery Anomalies ◽  
Artery Disease

Abstract Background: Anomalies of origin and course of one or both coronary arteries, with or without symptoms, are of special interest for anatomists, interventional cardiologists, and cardiac surgeons. Aims: To estimate the prevalence of coronary anomalies and their clinical aspects in North Indian population. Material and Methods: Study was done on patients undergoing coronary angiography for suspected coronary artery disease or for coronary intervention at a tertiary care centre in North India. Results: A total of 1130 patients [803 males, 327 females and mean age 57.37°10.60 years] were reviewed for coronary artery anomalies. Overall incidence of Coronary artery anomalies was 13 [1.15%] and was 1% in men and 1.53% in women. 38.46% of these patients were found to have ectopic origin of left circumflex [LCx] and in 23.08% of cases, ectopic origin of right coronary artery [RCA] was noted. Separate orifice for left anterior descending [LAD] and LCx in left coronary sinus [LCS] was observed in 0.27% cases, coronary artery fistula [CAF] in 0.09% cases and single coronary artery from LCS was found in 0.09% cases. Conclusions: The most common coronary anomalies were origin of LCx from RCA and presence of separate orifice for LAD and LCx in LCS. Dominance, gender and coronary artery disease [CAD] have no association with coronary anomalies.

Ischaemic heart disease: coronary artery anomalies

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).

scholarly journals Coronary artery disease in patients undergoing cardiac surgery for non-coronary lesions in a tertiary care centre

2014 ◽  
Vol 66 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Cholenahally Nanjappa Manjunath ◽  
Ashish Agarwal ◽  
Prabhavathi Bhat ◽  
Khandenahally Shankarappa Ravindranath ◽  
Rajiv Ananthakrishna ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Cardiac Surgery ◽  
Coronary Artery ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Coronary Lesions ◽  
Artery Disease
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