Congenital coronary anomalies of origin and distribution in adults: a coronary arteriographic study.

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dc.contributor.authorHarikrishnan, Sen_US
dc.contributor.authorJacob, Sonney Pen_US
dc.contributor.authorTharakan, Jaganmohanen_US
dc.contributor.authorTitus, Thomasen_US
dc.contributor.authorKumar, V K Ajithen_US
dc.contributor.authorBhat, Anilen_US
dc.contributor.authorSivasankaran, Sen_US
dc.contributor.authorBimal, Francisen_US
dc.contributor.authorMoorthy, K M Krishnaen_US
dc.contributor.authorKumar, R Padmaen_US
dc.date.accessioned2002-05-10en_US
dc.date.accessioned2009-05-27T04:23:34Z
dc.date.available2002-05-10en_US
dc.date.available2009-05-27T04:23:34Z
dc.date.issued2002-05-10en_US
dc.description.abstractBACKGROUND: Coronary anomalies should be recognized to avoid problems during coronary intervention and cardiac surgery. METHODS AND RESULTS: We retrospectively reviewed 7400 coronary angiograms to find out the pattern and incidence of coronary anomalies of origin and distribution. We excluded patients with congenital heart diseases, coronary artery fistulae and patients with separate origin of the conus artery. and found 34 cases (0.46%) (22 males), mean age 50.7 +/- 12 years with coronary anomalies. Six cases underwent angiography prior to valve replacement and the rest were part of the evaluation for atherosclerotic coronary artery disease. The most common anomaly was separate origins of the left anterior descending coronary artery and left circumflex coronary artery [n=12 (35.3%)]. The next most common anomalies were origins of the right coronary artery from the left coronary sinus [n=7 (20.6%)] and left circumflex artery from the right sinus [n=6 (20%)]. A single coronary artery was seen in 3 cases (8.8%) which included one case of postmyocardial infarction ventricular septal rupture with triple-vessel disease, and another with two small coronary fistulae. One case each of the following coronary anomalies was found: (i) double right coronary artery, (ii) left anterior descending coronary artery from the right coronary sinus, (iii) all three coronary arteries originating separately from the right sinus, and (iv) left main coronary artery from the right sinus. Of these 34 patients, 11 (32.4%) had significant atherosclerotic disease in the anomalous vessel. CONCLUSIONS: The incidence of primary coronary anomaly seems to be less than that in earlier reports, but the pattern of anomalies appears to be similar.en_US
dc.description.affiliationDepartment of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala. drharikrishnan@hotmail.comen_US
dc.identifier.citationHarikrishnan 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 Journal. 2002 May-Jun; 54(3): 271-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/4550
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAgeden_US
dc.subject.meshCoronary Angiographyen_US
dc.subject.meshCoronary Vessel Anomalies --pathologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRetrospective Studiesen_US
dc.titleCongenital coronary anomalies of origin and distribution in adults: a coronary arteriographic study.en_US
dc.typeJournal Articleen_US
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