scholarly journals INCIDENCE AND CHARACTERISTICS OF CORONARY ARTERY ECTASIA IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY AT ARMY CARDIAC CENTER LAHORE

2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S876-80
Author(s):  
Faisal Shafiq ◽  
Ahmad Usman ◽  
Mehboob Sultan ◽  
Khurram Shehzad ◽  
Namra Haroon ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Laboratory Data ◽  
Prospective Analysis ◽  
Coronary Artery Ectasia ◽  
Catheterization Laboratory ◽  
Common Clinical Presentation ◽  
Coronary Angiograms ◽  
Cardiac Center

Objective: To estimate the incidence and characteristics of coronary artery ectasia in patients undergoing coronary angiography. Study Design: A prospective analysis. Place and Duration of Study: This study was conducted at Army Cardiac Center, Lahore over a period of two years from Jan 2018 to Dec 2019. Methodology: Its prospective analysis of all coronary angiograms performed in our catheterization laboratory during study period. Markis classification was the basis to define and classify coronary artery ectasia. Demographical, clinical, and laboratory data were collected for each patient in this study. Results: A total of 172 (3.9%) out of 4,372 coronary angiograms showed coronary artery ectasia. Among coronary artery ectasia group, mean age 58 ± 10 years, 90% were male, 47% were current smokers, 32% were hypertensive, 15% had diabetes Mellitus and 37% had dyslipidemia. The most common clinical presentation was Non STsegment elevation myocardial infarction (31%), followed by Stable ischemic heart disease in 28%. Right coronary artery was the most frequent coronary artery involved (57%) while Markis Class 3 pattern was seen as most common type of coronary artery ectasia. Conclusion: The frequency of coronary artery ectasia among our patients undergoing coronary angiography was about 4%. Right coronary artery remained the most common affected artery.

scholarly journals Right Coronary Artery Originating from the Left: Do Not Miss the Diagnosis!

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Sedat Türkoğlu ◽  
Serkan Ünlü ◽  
Gülten Aydoğdu Taçoy ◽  
Murat Özdemir
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Common Type ◽  
Coronary Anomaly ◽  
Single Center ◽  
Catheterization Laboratory ◽  
True Prevalence ◽  
Frequent Form ◽  
The Right ◽  
Coronary Angiograms

Objective. Left circumflex (LCx) artery originating from the right coronary arterial (RCA) system has been reported as the most common form of anomalous origination of a coronary artery from the opposite sinus (ACAOS). However, some studies claim that RCA originating from the left coronary sinus (LCS) is the most frequent form. The aim of this study was to determine the most common type of ACAOS in a single center.Materials and Methods. The database of the catheterization laboratory was retrospectively searched. All patients who were performed coronary angiography between 1999 and 2006 were included to registry. All examinations were carefully analyzed to determine the most frequent type of ACAOS.Results. We detected ACAOS in 35 cases (16 RCA originating from the LCS, 13 LCx from the RCS or the RCA, and 6 others) out of 5165 coronary angiograms. The most common form was RCA originating from LCS. Moreover, we revealed that 5 cases with RCA originating from the LCS were previously misdiagnosed and not reported as a coronary anomaly.Conclusions. RCA originating from the LCS was the most common form of ACAOS in our registry. The high change of misdiagnosis or underreporting of this anomaly could have biased the true prevalence.

DIFFICULTIES OF DOING PERCUTANOUS INTERVENTION ON PATIENT WITH HIGH TAKE OFF RIGHT CORONARY ARTERY ORIGIN.

2021 ◽  
pp. 79-80
Author(s):  
Anshu Kabra ◽  
Kibrom Mulugeta
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Stable Condition ◽  
Sudden Onset ◽  
Ascending Aorta ◽  
Inferior Wall ◽  
Catheterization Laboratory

We here describe 50-year old man presented with sudden onset of left side chest pain associated with diaphoresis and dyspnoea of two days duration. With the impression of inferior wall myocardial infarction (IWMI) electrocardiogram was consistent and Conventional angiograph showed to have high take off right coronary artery from ascending aorta and proximal to mid-99% stenosis. The focus on this report was the challenge to hook and stent high take off right coronary artery origin. So doing interventions in the catheterization laboratory we should be able to do different techniques like hanging type of coronary angiography with different balloons and catheters to overcome this challenge. Patient life was saved and nally discharged with stable condition

scholarly journals Angina in Patients with Non-obstructive Coronary Angiograms: Six-years Follow-up

2017 ◽  
Vol 11 ◽  
Author(s):  
Sergio Vancheri ◽  
Viviana Milino ◽  
Michael Henein ◽  
Corrado Tamburino
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Stable Angina ◽  
Obstructive Coronary Artery Disease ◽  
Significant Proportion ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Increased Risk ◽  
Coronary Angiograms

<p><span style="font-family: Calibri;"><strong>Background and Aim: </strong>About one third of patients undergoing coronary angiography for angina have non-obstructive coronary artery disease (CAD). Until recent years the prognosis has been thought to be favourable and no treatment were recommended. More recently, an increased risk of cardiovascular (CV) events has been documented in these patients compared with a general population. We aimed to evaluate the long term persistence of angina and the occurrence of major CV events in patients with stable angina and non-obstructive CAD.</span></p><p><span style="font-family: Calibri;"><strong>Methods: </strong>We retrospectively evaluated all patients with effort angina referred to the cardiac catheterization  laboratory of the Cardiovascular Unit, University of Catania, Sicily, between 1<sup>st</sup> July 2008 and 31<sup>st</sup> December 2009, because of a clinical suspicion of myocardial ischemia, without obstructive CAD, defined as &lt;50% stenosis of left main stem or &lt;70% in any epicardial coronary artery.</span></p><p><span style="font-family: Calibri;"><strong>Results: </strong>Among 2574 patients (2025 men and 549 women) referred for diagnostic coronary angiography, 151 (5.8%) had non-obstructive coronary angiograms. Six-years follow-up was available in 127 patients (63 men and 64 women). Persistence of angina was reported in 20.4%. Four patients (3.1%) had acute myocardial infarction and two (1.6%) had stroke.</span></p><p><span style="font-family: Calibri;"><strong>Conclusion: </strong>During a six-years follow-up, persistence of angina and occurrence of acute major CV events were found in a significant proportion of patients with stable angina and non-obstructive coronary angiograms.</span></p>

Detection of malignant right coronary artery anomaly by multi-slice CT coronary angiography

2002 ◽  
Vol 12 (S3) ◽  
pp. S177-S180 ◽  
Author(s):  
M. Dirksen ◽  
J. Bax ◽  
N. Blom ◽  
M. Schalij ◽  
W. Jukema ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Ct Coronary Angiography ◽  
Coronary Artery Anomaly

scholarly journals Angiographic profile of coronary arteries in Keralite population

2014 ◽  
Vol 03 (03) ◽  
pp. 143-149
Author(s):  
Apsara M P.
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Research Work ◽  
Myocardial Revascularization ◽  
Chi Square ◽  
Circumflex Artery ◽  
Chi Square Test ◽  
The Right ◽  
Coronary Angiograms

Abstract Background and aims: The incidence of Coronary Artery Disease (CAD) has reached alanning proportions in India. The pathological hall mark of CAD is myocardial ischemia resulting from the atherosclerotic narrowing of coronary arteries. In this era of advanced interventions and cardiac surgery, a thorough knowledge of normal and variant anatomy of coronary arteries is of prime significance and of great use both to the clinicians and anatomists. Materials and methods: One hundred coronary angiograms of patients free of disease were studied in detail in different profiles. The data obtained was quantified according to their frequencies. The relation between the length of left main coronary artery and coronary artery dominance was statistically analyzed using the 'Chi Square test for Trend'. Results: This study highlighted some interesting findings such as the origin of Sino- atrial nodal artery from the second segment of right coronary artery in 3% of cases, double right marginal artery in 4% cases. Other variations such as Mouchet's posterior recurrent interventricular artery, origin of circumflex artery from the right coronary artery and abnormal communication between the terminal parts of right coronary artery and circumflex artery were each noticed in 1 % of cases. Conclusions: Coronary arteries and their branches are prone to variations in their course and morphology. Prior knowledge about this is important for the interpretation of coronary angiograms and surgical myocardial revascularization. The present work on normal and variant pattern of coronary arteries will help in gathering momentum to the already advancing research work in this field.

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