https://doi.org/10.4081/monaldi.2021.2066
Prevalence and patterns of coronary artery anomalies in 28,800 adult patients undergoing angiography in a large tertiary care centre in India
Submitted: August 27, 2021
Accepted: December 16, 2021
Published: December 16, 2021
Accepted: December 16, 2021
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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 i) anomalies of coronary artery connection, ii) anomalies of intrinsic coronary arterial anatomy and iii) 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%.
Roberts WC. Major anomalies of coronary arterial origin seen in adulthood. Am Heart J. 1986;111:941-63.
DOI: https://doi.org/10.1016/0002-8703(86)90646-0
Angelini P, Villason S, Chan Jr. A, Diez JG. Normal and anomalous coronary arteries in humans. In: Angelini, P, editor. Coronary artery anomalies: A Comprehensive Approach. Philadelphia: Lippincott, Williams and Wilkins; 1999. pp 27-150.
Angelini P. Coronary artery anomalies: An entity in search for identity. Circulation 2007;115:1296-1305.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.106.618082
Pérez-Pomares JM, de la Pompa JL, Franco D, et al. Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology-a position statement of the development, anatomy, and pathology ESC Working Group. Cardiovasc Res 2016;109:204-16.
DOI: https://doi.org/10.1093/cvr/cvv251
Frommelt P, Lopez L, Dimas VV, et al. Recommendations for Multimodality Assessment of Congenital Coronary Anomalies: A Guide from the American Society of Echocardiography: Developed in collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 2020;33:259-94.
DOI: https://doi.org/10.1016/j.echo.2019.10.011
Wilkins CE, Betancourt B, Mathur VS, et al. Coronary artery anomalies: a review of more than 10,000 patients from the Clayton Cardiovascular Laboratories. Tex Heart Inst J 1988;15:166-73.
Kardos A, Babai L, Rudas L, et al. Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Cathet Cardiovasc Diagn 1997;42:270-5.
DOI: https://doi.org/10.1002/(SICI)1097-0304(199711)42:3<270::AID-CCD8>3.0.CO;2-9
Rigatelli G, Docali G, Rossi P, et al. Congenital coronary artery anomalies angiographic classification revisited. Int J Cardiovasc Imaging 2003;19:361-6.
DOI: https://doi.org/10.1023/A:1025806908289
Aydinlar A, Ciçek D, Sentürk T, et al. Primary congenital anomalies of the coronary arteries: a coronary arteriographic study in Western Turkey. Int Heart J 2005;46:97-103.
DOI: https://doi.org/10.1536/ihj.46.97
Duran C, Kantarci M, Durur Subasi I, et al. Remarkable anatomic anomalies of coronary arteries and their clinical importance: a multidetector computed tomography angiographic study. J Comput Assist Tomogr 2006;30:939-48.
DOI: https://doi.org/10.1097/01.rct.0000230004.38521.8e
Koşar P, Ergun E, Oztürk C, Koşar U. Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance. Diagn Interv Radiol 2009;15:275-83.
DOI: https://doi.org/10.4261/1305-3825.DIR.2550-09.1
Cheng Z, Wang X, Duan Y, et al. Detection of coronary artery anomalies by dual-source CT coronary angiography. Clin Radiol 2010;65:815-22
DOI: https://doi.org/10.1016/j.crad.2010.06.003
Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40.
DOI: https://doi.org/10.1002/ccd.1810210110
Desmet W, Vanhaecke J, Vrolix M, et al. Isolated single coronary artery: a review of 50,000 consecutive coronary angiographies. Eur Heart J 1992;13:1637-40.
DOI: https://doi.org/10.1093/oxfordjournals.eurheartj.a060117
Liberthson RR. Sudden death from cardiac causes in children and young adults. N Engl J Med 1996;334:1039-44.
DOI: https://doi.org/10.1056/NEJM199604183341607
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;35:1493-501.
DOI: https://doi.org/10.1016/S0735-1097(00)00566-0
Angelini P, Velasco JA, Ott D, Khoshnevis GR. Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiologic mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol 2003;15:507-14.
Angelini P, Walmsley RP, Libreros A, Ott DA. Symptomatic anomalous origination of left coronary artery from the opposite sinus of Valsalva: clinical presentations, diagnosis, and surgical repair. Tex Heart Inst J 2006;33:171-9.
Hejmadi A, Sahn DJ. What is the most effective method of detecting anomalous coronary origin in symptomatic patients? J Am Coll Cardiol 2003;42:155-7.
DOI: https://doi.org/10.1016/S0735-1097(03)00510-2
Di Salvo G, Siblini G, Issa Z, et al. Left ventricular mechanics in patients with abnormal origin of the left main coronary artery from the pulmonary trunk late after successful repair. Cardiology 2017;136:71-6.
DOI: https://doi.org/10.1159/000447961
Ghersin E, Litmanovich D, Ofer A, et al. Anomalous origin of right coronary artery: diagnosis and dynamic evaluation with multidetector computed tomography. J Comput Assist Tomogr 2004;28:293-4.
DOI: https://doi.org/10.1097/00004728-200403000-00022
Ghadri JR, Kazakauskaite E, Braunschweig S, et al. Congenital coronary anomalies detected by coronary computed tomography compared to invasive coronary angiography. BMC Cardiovasc Disord 2014;14:81.
DOI: https://doi.org/10.1186/1471-2261-14-81
Angelini P, Trivellato M, Donis J, Leachman D. Myocardial bridges: a review. Prog Cardiovasc Dis 1983;26:75-88.
DOI: https://doi.org/10.1016/0033-0620(83)90019-1
Gupta MD, Girish MP, Trehan V, Tyagi S. Myocardial bridging in all major epicardial vessels. JACC Cardiovasc Interv 2014;7:e129-31.
DOI: https://doi.org/10.1016/j.jcin.2014.02.020
Levin D, Fellows KE, Abrams HL. Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation 1978;58:25-34.
DOI: https://doi.org/10.1161/01.CIR.58.1.25
How to Cite
Bansal, Ankit, Prattay Guha Sarkar, Mohit D. Gupta, M.P. Girish, Shekhar Kunal, Vishal Batra, Jamal Yusuf, S. Safal, Saibal Mukhopadhyay, and Sanjay Tyagi. 2021. “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 92 (3). https://doi.org/10.4081/monaldi.2021.2066.
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