1956
DOI: 10.1161/01.cir.14.5.800
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Anomalies of the Coronary Arteries and their Clinical Significance

Abstract: Fifty-four cases with anomalies involving the coronary artery circulation were found among 18,950 autopsies during a 10-year period at the Los Angeles County Hospital. The purpose of this survey is to present the different types of coronary artery anomalies and to elucidate their practical clinical significance.

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Cited by 346 publications
(191 citation statements)
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“…These same authors estimate a prevalence of approximately three in a thousand of coronary angiogram in adults showing the coronary artery anomaly. This prevalence is similar to the one found in our study and also in other authors work (Alexander & Griffith, 1956;Page et al;Chaitman et al, 1976;Baltaxe & Wixson, 1977;Kimbiris et al, 1978, Cielinski et al, 1993.…”
Section: Discussionsupporting
confidence: 94%
“…These same authors estimate a prevalence of approximately three in a thousand of coronary angiogram in adults showing the coronary artery anomaly. This prevalence is similar to the one found in our study and also in other authors work (Alexander & Griffith, 1956;Page et al;Chaitman et al, 1976;Baltaxe & Wixson, 1977;Kimbiris et al, 1978, Cielinski et al, 1993.…”
Section: Discussionsupporting
confidence: 94%
“…2,5 With respect to our case, anomalous origin of the right coronary artery from the left coronary sinus of Valsalva occurs with an incidence of 0.05% to 0.1% in the general population. 6 While anomalous coronary arteries occur with low frequency, there is a high risk of sudden death due to myocardial ischemia and resultant arrhythmia associated with them. 7 Various mechanisms have been postulated to cause the aforementioned ischemia including: Origin in an acute angle and folding or occlusion caused by the angulation at the point of coronary artery emergence, 8 coronary spasm resulting from its torsion movement, 8 mechanical compression of the anomalous artery between the pulmonary and aortic trunks during physical exertion, 5 and an intramural origin of the coronary artery from within the aortic tunica media.…”
Section: Discussionmentioning
confidence: 99%
“…Although CAAs are rare with reported prevalences of 0.3 to 5.64% of patients undergoing invasive coronary angiography and 0.3 to 0.5% of autopsies, they can be responsible for cardiovascular morbidity and even mortality. [10][11][12] Malignant anomalies may have serious implications such as angina pectoris, myocardial infarction, syncope, cardiac arrhythmias, congestive heart failure, or sudden death. 13 Especially in the young, coronary anomalies are an important cause of sport-related sudden cardiac death.…”
Section: Coronary Artery Anomaliesmentioning
confidence: 99%