JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Analysis of coronary artery anomalies in adults: morphology, atherosclerosis, and cardiovascular risks
Abstract
Aims: Despite their rarity, coronary artery anomalies (CAAs) warrant careful consideration during percutaneous or surgical interventions due to their potential influence on clinical outcomes. The objective of this study was to ascertain the prevalence and characteristics of CAAs in adult patients undergoing coronary angiography.
Methods: A retrospective analysis was conducted on 12.457 coronary angiography records from a tertiary hospital, encompassing the period from May 2007 to October 2010. The classification of anomalies adhered to the system proposed by Dr. Angelini and approved by the Congenital Heart Surgery Committee. Statistical comparisons were performed through the application of Student’s t-test, Pearson’s chi-square test, and Fisher’s exact test.
Results: An analysis of angiographies identified CAAs in 134 cases, consisting of 89 males and 45 females, with an age range spanning from 21 to 87 years . Myocardial bridging was identified in 62 instances (0.49%), coronary artery exit anomalies in 17 instances (0.14%), coronary artery aneurysms in 30 instances (0.24%), coronary artery fistula in 18 instances (0.14%) , and coronary artery atresia in one instance (0.01%). There were no substantial gender variations observed among the different types of anomalies.
Conclusion: The findings of this study align closely with previous research concerning the prevalence and characteristics of CAAs. Prompt diagnosis and angiographic assessment of congenital CAAs are essential for optimal management and minimizing procedural risks. Anatomical knowledge is indispensable in elucidating pathophysiological mechanisms, optimizing surgical strategies, and advancing diagnostic imaging techniques.

Keywords : Coronary angiography, coronary artery anomalies, myocardial bridging, sudden death, congenital anomalies

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Article available in :
Volume 5, Issue 6, 2024
Page : 320-326
https://doi.org/10.47582/jompac.1590760
Article Information
Received : 24 Kas 2024
Accepted : 17 Ara 2024
Published : 23 Ara 2024
Corresponding Author :

Serpil Çilingiroğlu Anlı: Department of Anatomy, Faculty of Medicine, Kırıkkale, University, Kırıkkale, Turkiye

[email protected]
Citation : Çilingiroğlu Anlı S, Atak R. Analysis of coronary artery anomalies in adults: morphology, atherosclerosis, and cardiovascular risks. J Med Palliat Care. 2024;5(6):320-326.

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