Coronary Anomalies

Angelini, Paolo; Velasco, José A.; Flamm, Scott D.

doi:10.1161/01.cir.0000016175.49835.57

Cited by 814 publications

(337 citation statements)

References 39 publications

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“…Due to this "referral bias," the actual incidence of coronary artery anomalies remains unknown in the general population. 18 Earlier studies suggested a relationship between coronary artery anomalies and atherosclerosis. Numerous mechanisms were proposed to explain such an association.…”

Section: Discussionmentioning

confidence: 99%

Presence of Anomalous Coronary Seen on Angiogram Is Not Associated with Increased Risk of Significant Coronary Artery Disease

et al. 2014

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It is unclear if anomalous coronary arteries are at higher risk for atherosclerosis. The link between anomalous coronary artery and early coronary artery disease has been suggested. The aim of this study is to determine whether the coronary artery anomaly predisposes to development of significant coronary disease. Using retrospective chart review, patients with documented anomalous coronary arteries recognized during coronary angiography between years 2000 to 2007 were analyzed. Prevalence of significant atherosclerotic coronary artery disease (defined as more than 50% luminal narrowing) was compared between normal and anomalous coronaries. A total of 147 patients with anomalous coronary arteries were found. Right coronary artery was the most common anomalous artery 128 of 148 (86.5%) in our dataset. There was no difference in the occurrence of atherosclerosis between anomalous and nonanomalous coronaries. Significant atherosclerosis was present in 59 of the 148 anomalous coronary arteries (37.8%), and 112 of the 293 nonanomalous coronary arteries (38.2%, p?=?0.9). On the basis of our study, there is no evidence that anomalous coronary arteries predispose to significant coronary artery disease in comparison to normal coronary arteries.

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Section: Discussionmentioning

confidence: 99%

Presence of Anomalous Coronary Seen on Angiogram Is Not Associated with Increased Risk of Significant Coronary Artery Disease

et al. 2014

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“…The incidence of anomalous origin of the CVs is higher in the population of patients referred for CA (0.6-1.3%) [1].…”

Section: Introductionmentioning

confidence: 91%

Anomalous origin of circumflex arteries evaluated with MDCT

Bamoshmoosh¹,

Pace²,

Fanfani³

et al. 2009

Intern Emerg Med

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“…1 These anomalies vary with respect to number, location, orientation of the ostia, and origin of the coronary arteries. Some anomalies are merely anatomic variants without clinical relevance; others can present with chest pain, syncope, or sudden cardiac death.…”

Section: Commentmentioning

confidence: 99%

Anomalous Origin of Left Main Coronary Artery from Right Sinus of Valsalva

Chadha¹,

Husain²,

Shetty³

et al. 2014

Texas Heart Institute Journal

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A 46-year-old man emergently presented after developing chest pain while running for a taxi. He reported no associated shortness of breath, palpitations, or dizziness. His vital signs were stable, and the results of respiratory and cardiovascular examination were normal. An electrocardiogram showed ST-segment elevation in leads V 2 through V 6 (Fig. 1). An urgent coronary angiogram revealed narrowing at the origin of the left main coronary artery (LMCA) that did not resolve after intracoronary nitroglycerin was administered (Fig. 2). However, there was no evident atherosclerotic disease.To better characterize the lesion, we performed dual-source, 64-slice computed tomographic scanning (Siemens Medical Solutions USA, Inc.; Mountain View, Calif ) with retrospective cardiac gating (0.6 × 0.3-mm image slices); postprocessing image reconstruction was done on independent workstations. We found that the LMCA anomalously originated at an acute angle from the right coronary sinus (Fig. 3) and took a malignant course between the proximal ascending aorta and the pulmonary Images in Cardiovascular Medicine

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Coronary Anomalies

Cited by 814 publications

References 39 publications

Presence of Anomalous Coronary Seen on Angiogram Is Not Associated with Increased Risk of Significant Coronary Artery Disease

Presence of Anomalous Coronary Seen on Angiogram Is Not Associated with Increased Risk of Significant Coronary Artery Disease

Anomalous origin of circumflex arteries evaluated with MDCT

Anomalous Origin of Left Main Coronary Artery from Right Sinus of Valsalva

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