Document Detail


Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.
MedLine Citation:
PMID:  2208265     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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) large coronary fistulae. Coronary artery anomalies require accurate recognition, and at times, surgical correction.
Authors:
O Yamanaka; R E Hobbs
Related Documents :
21760745 - Recurrent deep venous thrombosis in a patient with agenesis of inferior vena cava.
20976445 - Anomalous origin of the left coronary artery from the pulmonary artery in children: 15 ...
1126355 - Aberrant origin of left pulmonary artery (vascular sling). report of the clinical and a...
431105 - Correction of anomalous origin of the left coronary artery.
1155805 - The systemic arterial pattern of the guinea pig: the abdomen.
20084595 - portal vein embolization using the amplatzer vascular plug ii: preliminary results
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  21     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-11-14     Completed Date:  1990-11-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  28-40     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Cleveland Clinic Foundation, OH 44195.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Arteriovenous Fistula / epidemiology,  radiography
Coronary Angiography*
Coronary Vessel Anomalies / epidemiology*,  radiography
Female
Humans
Incidence
Male
Middle Aged
Ohio / epidemiology
Pulmonary Artery / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Left ventricular rupture complicating percutaneous mitral commissurotomy: salvage using percutaneous...
Next Document:  Left main percutaneous transluminal coronary angioplasty with the autoperfusion catheter in an anima...