Coronary artery anomalies in 126,595 patients undergoing coronary arteriography

Catheterization and Cardiovascular Diagnosis
O Yamanaka, R E Hobbs

Abstract

Coronary artery anomalies were found in 1,686 patients (1.3% incidence) undergoing coronary arteriography at the Cleveland Clinic Foundation from 1960 to 1988. Of the 1,686 patients, 1,461 (87%) had anomalies of origin and distribution, and 225 (13%) had coronary artery fistulae. Most coronary anomalies did not result in signs, symptoms, or complications, and usually were discovered as incidental findings at the time of catheterization. Eighty-one percent were "benign" anomalies: 1) separate origin of the left anterior descending and circumflex from the left sinus of Valsalva; 2) ectopic origin of the circumflex from the right sinus of Valsalva; 3) ectopic coronary origin from the posterior sinus of Valsalva; 4) anomalous coronary origin from the ascending aorta; 5) absent circumflex; 6) intercoronary communications; and 7) small coronary artery fistulae. Other anomalies may be associated with potentially serious sequelae such as angina pectoris, myocardial infarction, syncope, cardiac arrhythmias, congestive heart failure, or sudden death. Potentially serious anomalies include: 1) ectopic coronary origin from the pulmonary artery; 2) ectopic coronary origin from the opposite aortic sinus; 3) single coronary artery; and 4) larg...Continue Reading

References

Jan 1, 1979·British Heart Journal·D I HamiltonR J Donnelly
Jan 1, 1979·The Annals of Thoracic Surgery·D B LerbergH T Bahnson
Oct 1, 1978·Circulation·D KimbirisC E Bemis
Jan 1, 1988·Catheterization and Cardiovascular Diagnosis·M ShethV Maranhao
May 1, 1986·American Heart Journal·W C Roberts
Apr 1, 1985·British Heart Journal·J H BettP J Murray
Feb 1, 1986·Journal of the American College of Cardiology·C W Barth, W C Roberts
Jul 1, 1985·British Heart Journal·T VesterlundO K Hansen
Sep 22, 1966·The New England Journal of Medicine·J W HarthorneR E Dinsmore
Mar 1, 1967·The American Journal of Cardiology·L S Cohen, L D Shaw
Apr 1, 1983·The American Journal of Cardiology·P EsenteD Bernstein
Sep 8, 1983·The New England Journal of Medicine·B BrandtM L Marcus
Jan 1, 1983·Catheterization and Cardiovascular Diagnosis·R M DonaldsonD N Ross
Jan 1, 1982·Cleveland Clinic Quarterly·R E HobbsW C Sheldon
Apr 7, 1962·JAMA : the Journal of the American Medical Association·M H AGUSTSSOND F WATERMAN
Nov 3, 1962·JAMA : the Journal of the American Medical Association·E JOKLG D ROSS
Dec 1, 1964·Circulation·H A BLAKEG BAROLDI

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Citations

Nov 1, 1996·Catheterization and Cardiovascular Diagnosis·H Shanoudy, D C Russell
Nov 21, 1997·Catheterization and Cardiovascular Diagnosis·T O Cheng
Aug 26, 1998·Catheterization and Cardiovascular Diagnosis·A KardosM Csanády
Nov 26, 1998·Catheterization and Cardiovascular Diagnosis·R SapraT Ghose
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G DorrosG Joseph
Jan 17, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mauricio G CohenMichael H Sketch
Oct 3, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Fernando BoccalandroRichard W Smalling
Apr 4, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J E Lauer, M E Ritchie
Jan 1, 1992·Catheterization and Cardiovascular Diagnosis·F BedogniM Vincenzi
Feb 1, 1992·Catheterization and Cardiovascular Diagnosis·M WarnerG W Vetrovec
Mar 1, 1992·Catheterization and Cardiovascular Diagnosis·M van den BrandA J Bogers
May 1, 1992·Catheterization and Cardiovascular Diagnosis·A D KugelmassW Grossman
Apr 1, 1993·Catheterization and Cardiovascular Diagnosis·P LacombeJ C Kahn
Aug 1, 1993·Catheterization and Cardiovascular Diagnosis·H W Vliegen, V M Cats
Sep 1, 1993·Catheterization and Cardiovascular Diagnosis·H H GibbsT A Sanborn
Dec 1, 1993·Catheterization and Cardiovascular Diagnosis·M A LawsonB Soto
Feb 1, 1994·Catheterization and Cardiovascular Diagnosis·O Topaz
Apr 1, 1994·Catheterization and Cardiovascular Diagnosis·J P WesterJ F Verzijlbergen
Jul 1, 1994·Catheterization and Cardiovascular Diagnosis·J K YeohC Maurice
May 1, 1995·Catheterization and Cardiovascular Diagnosis·R Ilia
Jun 1, 1995·Catheterization and Cardiovascular Diagnosis·M VavuranakisH Boudoulas
Apr 13, 1999·Clinical Cardiology·S A Said, T van der Werf
May 29, 2007·Advances in Therapy·Ahmet YilmazIzzet Tandogan
Oct 28, 2010·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·H W Vliegen
Feb 9, 2010·Pediatric Cardiology·Serhan KüpeliMünevver Büyükpamukçu
Oct 5, 2011·Pediatric Cardiology·Daniel Velasco-SanchezNagib Dahdah
Mar 1, 2012·Pediatric Cardiology·Shafkat AnwarRichard Lorber
Aug 7, 2009·Cardiovascular and Interventional Radiology·Jonas ApitzschAndreas H Mahnken

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