Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats
Background Congenital coronary artery anomalies (CCAA) are predominantly discovered as incidental findings on computed tomography coronary angiography (CTCA) of adults. They are rare but significant, considering their importance during endovascular or surgical interventions. This study describes the...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-01-01
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| Series: | Indian Journal of Radiology and Imaging |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730135 |
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| author | Kartik P. Ganga Aayush Goyal Vineeta Ojha Siddharthan Deepti Sanjiv Sharma Sanjeev Kumar |
| author_facet | Kartik P. Ganga Aayush Goyal Vineeta Ojha Siddharthan Deepti Sanjiv Sharma Sanjeev Kumar |
| author_sort | Kartik P. Ganga |
| collection | DOAJ |
| description | Background Congenital coronary artery anomalies (CCAA) are predominantly discovered as incidental findings on computed tomography coronary angiography (CTCA) of adults. They are rare but significant, considering their importance during endovascular or surgical interventions. This study describes the prevalence of CCAA and coronary variants (CV) in adults as identified by CTCA.
Methods It is a retrospective evaluation of 7,694 CTCAs of adults performed in a tertiary care facility in North India.
Results CCAA and CV were observed in a total of 9.6% of patients. The most common CV was myocardial bridging, observed in 7.1%. Anomalies of origin and course were detected in 2.3% of the patients. The frequency of these anomalies in the right coronary artery, left main, left circumflex artery, and the left anterior descending artery arteries were 1.06, 0.41, 0.03, and 0.38%, respectively. The single coronary pattern was seen in 0.05% and coronary artery fistulas in 0.03%. Scrutiny of data on Indian regional distribution revealed differing definitions and inclusion and exclusion criteria, making comparisons difficult, highlighting the need for uniform definitions as well as the need to adopt a standardized reporting template and format.
Conclusion The prevalence of CCAA and CV is 9.6% in adult Indian patients undergoing CTCA. Prior knowledge of these anatomical finding can prevent a catastrophe during surgery or endovascular interventions. Hence, it is important that clinicians, as well as radiologists, are aware of these entities. |
| first_indexed | 2024-12-22T13:52:12Z |
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| id | doaj.art-9495ad214a1b41a29e57bce8cf2974b4 |
| institution | Directory Open Access Journal |
| issn | 0971-3026 1998-3808 |
| language | English |
| last_indexed | 2024-12-22T13:52:12Z |
| publishDate | 2021-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Radiology and Imaging |
| spelling | doaj.art-9495ad214a1b41a29e57bce8cf2974b42022-12-21T18:23:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082021-01-01310113814910.1055/s-0041-1730135Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting FormatsKartik P. Ganga0Aayush Goyal1Vineeta Ojha2Siddharthan Deepti3Sanjiv Sharma4Sanjeev Kumar5Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaBackground Congenital coronary artery anomalies (CCAA) are predominantly discovered as incidental findings on computed tomography coronary angiography (CTCA) of adults. They are rare but significant, considering their importance during endovascular or surgical interventions. This study describes the prevalence of CCAA and coronary variants (CV) in adults as identified by CTCA. Methods It is a retrospective evaluation of 7,694 CTCAs of adults performed in a tertiary care facility in North India. Results CCAA and CV were observed in a total of 9.6% of patients. The most common CV was myocardial bridging, observed in 7.1%. Anomalies of origin and course were detected in 2.3% of the patients. The frequency of these anomalies in the right coronary artery, left main, left circumflex artery, and the left anterior descending artery arteries were 1.06, 0.41, 0.03, and 0.38%, respectively. The single coronary pattern was seen in 0.05% and coronary artery fistulas in 0.03%. Scrutiny of data on Indian regional distribution revealed differing definitions and inclusion and exclusion criteria, making comparisons difficult, highlighting the need for uniform definitions as well as the need to adopt a standardized reporting template and format. Conclusion The prevalence of CCAA and CV is 9.6% in adult Indian patients undergoing CTCA. Prior knowledge of these anatomical finding can prevent a catastrophe during surgery or endovascular interventions. Hence, it is important that clinicians, as well as radiologists, are aware of these entities.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730135computed tomography coronary angiographycoronary artery anomaliescoronary variations |
| spellingShingle | Kartik P. Ganga Aayush Goyal Vineeta Ojha Siddharthan Deepti Sanjiv Sharma Sanjeev Kumar Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats Indian Journal of Radiology and Imaging computed tomography coronary angiography coronary artery anomalies coronary variations |
| title | Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats |
| title_full | Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats |
| title_fullStr | Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats |
| title_full_unstemmed | Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats |
| title_short | Prevalence Rates of Congenital Coronary Anomalies and Coronary Variations in Adult Indian Population Using Dual-Source Computed Tomography Coronary Angiography: Analysis of Regional Distribution of Coronary Anomalies and the Need for Standardized Reporting Formats |
| title_sort | prevalence rates of congenital coronary anomalies and coronary variations in adult indian population using dual source computed tomography coronary angiography analysis of regional distribution of coronary anomalies and the need for standardized reporting formats |
| topic | computed tomography coronary angiography coronary artery anomalies coronary variations |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730135 |
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