Primary Congenital Anomalies of the Coronary Arteries: A Coronary Arteriographic Study in Western Turkey

Aydınlar, Ali; Çiçek, Davran; Şentürk, Tunay; Gemici, Kani; Serdar, Osman Akln; Kazazoglu, Ali Rlza; Kumbay, Ethem; Cordan, Jale

doi:10.1536/ihj.46.97

Cited by 57 publications

(26 citation statements)

References 24 publications

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“…Worldwide incidence has been described previously. We found an overall incidence of congenital anomalous aortic origin of the coronary artery of 1.3% among patients undergoing coronary artery angiography; this is in agreement with the 0.16-1.3% incidence reported in other series 7-9)12-15). Anomalous coronaries prevailed among males, possibly due to the fact that more angiograms were done among male patients.…”

Section: Discussionsupporting

confidence: 92%

“…Although the literature suggests that the majority of coronary artery fistulae open into the RV, right atrium, and CS, and less common into the PA, LA, or LV,7) we obtained the opposite results. We encountered 4 patients with significant coronary-to-cameral fistulae.…”

Section: Discussioncontrasting

confidence: 89%

“…When present, the Cx virtually always travels behind the aorta to lie in the left AV groove. The next commonly encountered anomaly in our series was the CX arising from RCS/RCA, which constituted 22.78% of all anomalies; however, Aydinlar et al7) reported 11% incidence. It should be suspected in the presence of unusually long non-branching proximal LMCA and a non-perfused lateral wall.…”

Section: Discussionmentioning

confidence: 78%

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The Incidence and Pattern of Coronary Artery Anomalies in the North-West of Iran: A Coronary Arteriographic Study

2012

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Background and ObjectivesCoronary artery anomalies are found in approximately 1% of patients undergoing diagnostic coronary angiography (CAG). Angiographic recognition of these vessels is important because of their clinical significance and importance in patients undergoing coronary angioplasty or cardiac surgery. There are fairly enough reports concerning the incidence of coronary anomalies in different geographic areas, but this is the first study among the Iranian population.Subjects and MethodsWe reviewed the database of the Catheterization Laboratory of Imam Reza and Shahid Madani Hospitals, Tabriz University of Medical Sciences, Iran. Our inquiry included all patients who referred for CAG from other hospitals, between February 2007 and April 2009. Patients with congenital heart diseases, high "take off" of coronary arteries and separate origin of the conus artery from the right coronary sinus (RCS) were excluded. In total, 6065 films were reviewed.ResultsSeventy nine (1.30%) patients were found to have coronary anomalies. Seventy five (1.24%) patients had anomalies of origin and distribution, while four (0.06%) had coronary artery fistulae. Most common anomaly was separate ostia of the left anterior descending artery and left circumflex artery, which was found in 42 patients (53.16%) with angiographic incidence of 0.69%. The next most common anomalies were anomalous circumflex artery from RCS/right coronary artery (RCA) {n=17 (21.51%)}, and anomalous RCA arising from left coronary sinus {n=6 (7.59%)}.ConclusionIn general, the incidence and pattern of coronary anomalies in our study was similar to earlier reports from different parts of the world.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 78%

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The Incidence and Pattern of Coronary Artery Anomalies in the North-West of Iran: A Coronary Arteriographic Study

2012

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“…Unfortunately, most of the previous studies focussed on AOCs. 9 – 16 These studies did not use the same classification system to define CAA. Some groups included solely AOCs in their study population, while others included AOCs together with coronary termination anomalies (i.e., using a modified classification).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of congenital coronary artery anomalies as shown by multi-slice computed tomography coronary angiography: a single-centre study from Turkey

Tongut

Özyedek²,

Çerezci³

et al. 2016

J Int Med Res

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ObjectiveCoronary artery anomaly (CAA) is a remarkable etiological factor for sudden cardiac death in young adults. The incidence of CAA is unknown, with most reliable data available based on postmortem/angiography investigations. This study aimed to assess the prevalence of different forms of coronary anomalies, and to investigate the relationships between demographic data and occurrence of CAA.MethodsA total of 2401 consecutive patients (1805 men; mean age, 56 ± 11.7 years), who were referred between January 2005 and December 2008 for noninvasive multi-slice computed tomography (MSCT) imaging, were retrospectively analysed.ResultsA total of 225 cases (191 men; mean age, 55.9 ± 12) of CAAs were identified (9.37%). Because 11 patients had multiple muscular bridges of the coronary arteries, 236 coronary artery anomalies were found in these 225 patients. Cases were classified into three groups: group 1, coronary anomalies of origin and distribution (n = 36, 1.5%); group 2, anomalies of intrinsic coronary arterial anatomy (n = 180, 7.49%); and group 3, anomalies of coronary termination (n = 9, 0.4%).ConclusionThe prevalence of CAA was 9.37% in our single-centre study, which is consistent with previous research. A minimally invasive tool, such as MSCT angiography, should be used to identify CAA.

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“…Previous studies reported that LCX anomalies were the third most common coronary artery anomaly diagnosed by using CAG 3). A total of 71% of patients with LCX anomaly had significant stenosis of the proximal LCX and 11% had severe atherosclerosis in this vessel alone 4).…”

Section: Discussionmentioning

confidence: 99%

Anomalous Origin of the Left Circumflex Coronary Artery From the First Diagonal Branch Presented as Acute Myocardial Infarction

Kim

Seong

et al. 2011

Korean Circ J

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Coronary artery anomalies are diagnosed in 0.6 to 1.5% of patients who undergo coronary angiography (CAG). They may present with life threatening conditions but are generally asymptomatic. Recognition and adequate visualization of the anomaly is essential for correct management of the condition. However, in some cases the exact orifice and course of an anomalous coronary vessel cannot be selectively identified by CAG. In this report, a 54-year-old man was admitted to the hospital with acute inferior myocardial infarction and had an anomalous origin of the left circumflex coronary artery (LCX) from the first diagonal branch (D1). In CAG, the right CAG showed no significant stenosis and fortunately we found an anomalous origin of the LCX from the D1. The course of LCX was precisely established by 64-slice multi-detector computed tomography.

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Primary Congenital Anomalies of the Coronary Arteries: A Coronary Arteriographic Study in Western Turkey

Cited by 57 publications

References 24 publications

The Incidence and Pattern of Coronary Artery Anomalies in the North-West of Iran: A Coronary Arteriographic Study

The Incidence and Pattern of Coronary Artery Anomalies in the North-West of Iran: A Coronary Arteriographic Study

Prevalence of congenital coronary artery anomalies as shown by multi-slice computed tomography coronary angiography: a single-centre study from Turkey

Anomalous Origin of the Left Circumflex Coronary Artery From the First Diagonal Branch Presented as Acute Myocardial Infarction

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