Anomalias das artérias coronárias

Almeida, Carla; Dourado, Raquel; Machado, C; Santos, Emília; Pelicano, Nuno; Pacheco, Miguel; Tavares, Alessandro; Melo, Fernando; Matos, Manuela Xavier Gomes de; Faria, José Vieira; Martins, Dinis

doi:10.1016/j.repc.2012.05.001

Cited by 11 publications

(15 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies only consider anomalies of origin and course, based on the Angelini et al classification 3 , or only disregard MBLAD as anomaly. [12][13][14][15][16][17][18][19] In addition, there are studies that use their own classification, [20][21][22][23] making it challenging to compare data unless one performs a re-analysis of the results using the same classification.…”

Section: Discussionmentioning

confidence: 99%

Most common anatomic anomalies of coronary arteries

Roman¹,

Silva²,

Santos³

et al. 2020

J Transcat Intervent

View full text Add to dashboard Cite

Background: Coronary artery anomalies represent an array of malformations of the vessels responsible for myocardial perfusion, with a prevalence of 1% in the general population. Mostly asymptomatic, they are diagnosed during routine tests. When symptomatic, they are the second major cause of sudden death in young athletes. Our study aimed to assess the most commonly found coronary vessel anatomic anomalies during cardiac catheterization procedures. Methods: An analytic cross-sectional study was performed assessing the medical charts of patients submitted to cardiac catheterization during the second semester of 2018. A total of 782 medical charts were analyzed, representing all patients submitted to cardiac catheterization. We performed an epidemiological description of the sample that comprised the following parameters: age, sex, dominance pattern, presence/absence of anomaly and anomaly classification. Results: From the charts analyzed, 86 (10.99%) showed anomalies. Fifty-one patients (59.3%) were male and the most frequent anomaly was myocardial bridging of left anterior descending coronary artery, found in 66 patients (88.37% of total anomalies). Conclusion: We found a two-fold anomaly prevalence when comparing to data reported in previous studies. Corroborating most studies, we found myocardial bridging of the left anterior descending coronary artery as the most frequent anomaly. RESUMO -Introdução:As anomalias coronarianas correspondem a um grupo de malformações nos vasos sanguíneos responsáveis pela irrigação miocárdica, com prevalência de cerca de 1%, cada uma, com relação à população geral. Grande parte é assintomática, tendo diagnóstico a partir de achados em exames casuais. Quando são apresentados sintomas, é a segunda maior causa de morte súbita em jovens atletas. O objetivo deste estudo foi investigar as alterações anatômicas coronarianas mais frequentes em procedimentos de cateterismo cardíaco. Métodos: Realizamos um estudo transversal analítico, por meio da avaliação de prontuários de pacientes submetidos a cateterismo cardíaco durante o segundo semestre de 2018. No total, foram avaliados 782 prontuários, sendo incluídos todos os pacientes que passaram por cateterismo cardíaco. Elaboramos o perfil epidemiológico, diferenciando os seguintes dados: idade, sexo, padrão de dominância, presença/ausência de anomalia e tipo. Resultados: Dos prontuários analisados, 86 (10,99%) apresentavam alguma anomalia. Eram do sexo masculino 51 pacientes (59,3%), e a anomalia mais frequente foi o trajeto intramiocárdico da artéria descendente anterior, em um total de 66 pacientes (88,37% do total de anomalias). Conclusão: Foi encontrado aproximadamente o dobro das prevalências relatadas em outros estudos. O trajeto intramiocárdico de artéria descendente anterior foi a anomalia mais encontrada, concordando com a maioria dos estudos. Descritores: Anomalias dos vasos coronários; Angiografia coronária; Cateterismo cardíaco BACKGROUNDCongenital coronary artery anomalies occur when the origin of the coronary at the aorta is n...

show abstract

Section: Discussionmentioning

confidence: 99%

Most common anatomic anomalies of coronary arteries

Roman¹,

Silva²,

Santos³

et al. 2020

J Transcat Intervent

View full text Add to dashboard Cite

show abstract

“…Despite being mostly asymptomatic, clinical presentation in adults may result from myocardial ischemia, manifesting as angina, syncope, arrhythmias, and even sudden death. In young athletes, apparently healthy ones, they are the second most frequent cause of sudden death [1–5]. …”

Section: Discussionmentioning

confidence: 99%

“…Most CAA are discovered as incidental findings during coronary angiographic study or at autopsy with incidence rate of 0.64% to 1.3% reported in the literature [1, 5]. …”

Section: Discussionmentioning

confidence: 99%

“…All interventional cardiologists and cardiac surgeons should be familiar with these anatomic variants since accurate recognition of the course and distribution of the coronary vessels are crucial for proper revascularization strategies in the presence of coronary artery disease [1, 5]. …”

Section: Discussionmentioning

confidence: 99%

“…Several controversies remain in terms of its incidence, classification, screening, heredity, and treatment [1–5]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Late Diagnosed Left Coronary to the Pulmonary Artery Large Fistulae: An Interesting and Incidental Cath Lab Finding

Oliveira¹,

Melo²,

Abreu-Silva³

et al. 2016

Case Reports in Cardiology

View full text Add to dashboard Cite

Coronary artery anomalies are congenital changes in their origin, course, and/or structure. Most of them are discovered as incidental findings during coronary angiographic studies or at autopsies. A coronary artery fistulae involve a communication between a coronary artery and a chamber of the heart or any segment of the systemic or pulmonary circulation. We present herein the case of a 67-year-old man with a recent history of exertional angina and dyspnea to usual daily activities whose coronary angiogram revealed an interesting and incidental coronary-pulmonary artery large fistulae.

show abstract

Coronary arteries anomalous aortic origin on a computed tomography angiography population: prevalence, characteristics and clinical impact

Amado

Carvalho

Ferreira

et al. 2016

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

Anomalous aortic origin of coronary arteries (AAOCA) is one of the most frequent causes of cardiovascular sudden death among the young population. We aimed to determine the prevalence and anatomic characteristics of AAOCA in a population referred to computed tomography angiography (CTA) and to describe the clinical prognosis of these findings at middle term follow-up. From a total of 3539 CTA, 53 were found to have AAOCA. This population was compared to an age and gender matched control group (n = 106) from the same CTA list. A telephone follow-up to determine cardiac events was conducted, with a mean follow-up of 45.9 ± 28.2 months. Prevalence of AAOCA was 1.5 %. The most common AAOCA was an origin of the right coronary artery (RCA) from the left coronary sinus, followed by an origin of the left circumflex artery (LCX) arising from the right coronary sinus. All patients with an anomalous origin of the RCA had an interarterial course. Four additional patients were found to have an interarterial course: 1 with an anomalous origin of LCX and 3 with an anomalous origin of the left main coronary artery (LMCA). At follow-up there were 33 (21.2 %) cardiac events, 9 (17.6 %) on the AAOCA group and 24 (22.9 %) on the control group (p = 0.46). Cardiac events and cardiovascular deaths were not related to any particular AAOCA or to interarterial courses. Among an adult population referred to CTA, AAOCA were not related with worse middle term prognosis when compared to an age- and gender- matched population.

show abstract

Anomalias das artérias coronárias

Cited by 11 publications

References 21 publications

Most common anatomic anomalies of coronary arteries

Most common anatomic anomalies of coronary arteries

Late Diagnosed Left Coronary to the Pulmonary Artery Large Fistulae: An Interesting and Incidental Cath Lab Finding

Coronary arteries anomalous aortic origin on a computed tomography angiography population: prevalence, characteristics and clinical impact

Contact Info

Product

Resources

About