Cyprus Journal of Medical Sciences
Original Article

Investigation of Anomalous Origin of Coronary Arteries in 8366 Adult Patients Who Had Coronary Angiography: A Single Center Study

1.

Department of Cardiology, University of Gaziantep, Gaziantep, Turkey

Cyprus J Med Sci 2021; 6: 262-266
DOI: 10.5152/cjms.2021.2077
Read: 111 Downloads: 55 Published: 18 May 2021

Objectives: Congenital coronary anomalies usually do not cause clinical problems, however, some of them might be presented with serious clinical pictures such as sudden death. We investigated the prevalance and characteristics of anomalous origin of coronary artery (AOCA) in patients who had coronary angiography.

Methods: The coronary angiography reports of 8366 patients at our centre between January 2013 and October 2018 were reviewed. Angiography images of patients who were reported to have AOCA were reevaluated.

Results: Fifteen of 8366 (0.18%) patients were found to have AOCA. The most commonly detected anomaly was anomalous origin of the circumflex artery (CX) originating from right coronary artery (RCA) or right sinus of valsalva (RSV) in 7 patients (prevalence 0.08% or 46.6% of all AOCA). Five patients showed a single coronary artery (prevalence 0.05% or 33.3% of all AOCA) which was arising from the RSV in 3 of them and from left sinus of valsalva (LSV) in the rest two. In 2 patients (0.02 % or 13.3 % of all AOCA) the left main coronary artery (LMCA) was originating from the RSV through separate ostium from the RCA. LMCA from the pulmonary artery was seen in one patient (0.01 % or 6,6 % of all AOCA). Four patients were found to have coronary artery disease (26.6% of all AOCA) and two of them presented with acute coronary syndrome.

Conclusions: The prevalence of AOCA was found at 0.18% in present study. The most commonly seen anomaly was the origin of CX artery from RCA or RSV.

Cite this article as: Yılmaz Coşkun F. Investigation of Anomalous Origin of Coronary Arteries in 8366 Adult Patients Who Had Coronary Angiography: A Single Center Study. Cyprus J Med Sci 2021; 6(3): 262-266.

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ISSN 2149-7893 EISSN 2536-507X