The prevalence of coronary artery anomalies with coronary computed tomography
The prevalence of coronary artery anomalies with coronary computed tomography
Background/aim: In this study, the aim is to investigate the prevalence of various coronary artery anomalies (CAAs), evaluated by 256-detector row coronary computed tomography (CCT), within the Turkish population. Materials and methods: We included 2973 patients who had received CCT. The high take-off right coronary artery (RCA) and left coronary artery (LCA), the RCA arising from the left sinus (LS), the LCA arising from the right sinus (RS), the circumflex artery (CX) arising from the RS, the single coronary ostium originating from the RS, the CX arising from the RCA, and the RCA arising from the pulmonary artery were evaluated. Results: Seventy-nine patients (2.65%) were diagnosed with CAAs. The frequency of high take-off of the RCA, LCA, and both was 0.1%, 0.67%, and 0.06%, respectively. Frequency of separate ostium of the left anterior descending artery and CX was 0.67%. The frequency of RCA originating from the LS, CX originating from the RS, LCA originating from the RS, LCA and RCA originating from the pulmonary artery, and CX originating from the RCA was 0.50%, 0.10%, 0.23%, 0.03%, and 0.20%, respectively. Conclusion: In this study, CCT was demonstrated to be a high-quality imaging modality for the detection of CAAs.
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- 1. Alexander RW, Griffith GC. Anomalies of the coronary arteries and their clinical significance. Circulation 1956; 14: 800-805.
- 2. Cieslinski G, Rapprich B, Kober G. Coronary anomalies: incidence and importance. Clin Cardiol 1993; 16: 711-715.
- 3. Maron BJ. Sudden death in young athletes. N Engl J Med 2003; 349: 1064-1075.
- 4. Engel HJ, Torres C, Page HL Jr. Major variations in anatomical origin of the coronary arteries: angiographic observations in 4,250 patients without associated congenital heart disease. Cathet Cardiovasc Diagn 1975; 1: 157-169.
- 5. Kardos A, Babai L, Rudas L, Gaal T, Horvath T, Talosi L, Toth K, Sarvary L, Szasz K. Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Cathet Cardiovasc Diagn 1997; 42: 270- 275.
- 6. Shi H, Aschoff AJ, Brambs HJ, Hoffmann MH. Multislice CT imaging of anomalous coronary arteries. Eur Radiol 2004; 14: 2172-2181.
- 7. Montaudon M, Latrabe V, Iriart X, Caix P, Laurent F. Congenital coronary arteries anomalies: review of the literature and multidetector computed tomography (MDCT)-appearance. Surg Radiol Anat 2007; 29: 343-355.
- 8. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000; 35: 1493-1501.
- 9. Kacmaz F, Ozbulbul NI, Alyan O, Maden O, Demir AD, Balbay Y, Erbay AR, Atak R, Senen K, Olcer T et al. Imaging of coronary artery anomalies: the role of multidetector computed tomography. Coronary Artery Dis 2008; 19: 203-209.
- 10. Harikrishnan S, Jacob SP, Tharakan J, Titus T, Kumar VK, Bhat A, Sivasankaran S, Bimal F, Moorthy KM, Kumar RP. Congenital coronary anomalies of origin and distribution in adults: a coronary arteriographic study. Indian Heart J 2002; 54: 271-275.
- 11. Dogan OF, Karcaaltincaba M, Yorgancioglu C, Demircin M, Dogan R, Ersoy U, Celiker A, Alehan D, Haliloglu M, Boke E. Demonstration of coronary arteries and major cardiac vascular structures in congenital heart disease by cardiac multidetector computed tomography angiography. Heart Surg Forum 2007; 10: E90-94.
- 12. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21: 28-40.
- 13. Cademartiri F, La Grutta L, Malago R, Alberghina F, Meijboom WB, Pugliese F, Maffei E, Palumbo AA, Aldrovandi A, Fusaro M et al. Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. Eur Radiol 2008; 18: 781-791.
- 14. Srinivasan KG, Gaikwad A, Kannan BR, Ritesh K, Ushanandini KP. Congenital coronary artery anomalies: diagnosis with 64 slice multidetector row computed tomography coronary angiography: a single-centre study. J Med Imag Radiat On 2008; 52: 148-154.
- 15. de Jonge GJ, van Ooijen PM, Piers LH, Dikkers R, Tio RA, Willems TP, van den Heuvel AF, Zijlstra F, Oudkerk M. Visualization of anomalous coronary arteries on dual-source computed tomography. Eur Radiol 2008; 18: 2425-2432.
- 16. Manghat NE, Morgan-Hughes GJ, Marshall AJ, Roobottom CA. Multidetector row computed tomography: imaging congenital coronary artery anomalies in adults. Heart 2005; 91: 1515-1522.
- 17. Schmitt R, Froehner S, Brunn J, Wagner M, Brunner H, Cherevatyy O, Gietzen F, Christopoulos G, Kerber S, Fellner F. Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multidetector computed tomography. Eur Radiol 2005; 15: 1110-1121.
- 18. Gersony WM. Management of anomalous coronary artery from the contralateral coronary sinus. J Am Coll Cardiol 2007; 50: 2083-2084.