Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India
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 wh...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2021-12-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/2066 |
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| author | Ankit Bansal Prattay Guha Sarkar Mohit D. Gupta MP Girish Shekhar Kunal Vishal Batra Jamal Yusuf Safal Saibal Mukhopadhyay Sanjay Tyagi |
| author_facet | Ankit Bansal Prattay Guha Sarkar Mohit D. Gupta MP Girish Shekhar Kunal Vishal Batra Jamal Yusuf Safal Saibal Mukhopadhyay Sanjay Tyagi |
| author_sort | Ankit Bansal |
| collection | DOAJ |
| description | 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%. |
| first_indexed | 2024-12-23T10:51:04Z |
| format | Article |
| id | doaj.art-32bd679caaa04983afb86d65508a0a5c |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-12-23T10:51:04Z |
| publishDate | 2021-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-32bd679caaa04983afb86d65508a0a5c2022-12-21T17:49:54ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642021-12-0110.4081/monaldi.2021.2066Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in IndiaAnkit Bansal0Prattay Guha Sarkar1Mohit D. Gupta2MP Girish3Shekhar Kunal4Vishal Batra 5Jamal Yusuf 6Safal7Saibal Mukhopadhyay 8Sanjay Tyagi 9Department of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, DelhiCoronary 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%.https://www.monaldi-archives.org/index.php/macd/article/view/2066Anomalous coronariesAngiogramCoronary artery |
| spellingShingle | Ankit Bansal Prattay Guha Sarkar Mohit D. Gupta MP Girish Shekhar Kunal Vishal Batra Jamal Yusuf Safal Saibal Mukhopadhyay Sanjay Tyagi Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India Monaldi Archives for Chest Disease Anomalous coronaries Angiogram Coronary artery |
| title | Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India |
| title_full | Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India |
| title_fullStr | Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India |
| title_full_unstemmed | Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India |
| title_short | Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India |
| title_sort | prevalence and patterns of coronary artery anomalies in 28 800 adult patients undergoing angiography in a large tertiary care centre in india |
| topic | Anomalous coronaries Angiogram Coronary artery |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/2066 |
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