Gender Differences in the Types and Frequency of Coronary Artery Anomalies

Aydar, Yüksel; Yazici, Hüseyin; Birdane, Alparslan; Nasifov, Muharrem; Nadir, Aydın; Ulus, Taner; Göktekín, Ömer; Görenek, Bülent; Ünalır, Ahmet

doi:10.1620/tjem.225.239

Cited by 23 publications

(15 citation statements)

References 30 publications

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“…Our study was in harmony with previous studies in relation to the frequency of CAA. However, our prevalence findings were higher than those in the previously conducted studies from our country [6][7][8][9]. This difference was attributed to variability of the classification of CAA from study to study.…”

Section: Discussioncontrasting

confidence: 94%

Prevalence and characteristics of CAAs in the black sea region

Kayapınar¹

2018

Ann Clin Anal Med

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Aim: To date there has been no data about the prevalence of coronary artery anomaly (CAA) in the Turkish population of the Black Sea Region who underwent trans-radial coronary angiography. We aimed to determine the frequency and characteristics of CAA in our patients. Material and Method: All the coronary angiographies performed from September 2015 to September 2016 in our hospital were reviewed. Demographic characteristics and laboratory parameters of patients were reviewed retrospectively from the patients' data set. A total of 1617 patient were included in our study. Results: CAAs were found in 73 patients (4.51%), of whom 41 (56.16%) had intrinsic coronary artery anatomy. Twenty-two (30.13%) patients had anomaly of origination and course and 10 (13.69%) patients had anomaly of coronary artery termination. The mean age was 59.35±11.86 in the study group and 60.11±6.61 in the control group. Myocardial bridge was the most common anomaly in our study with a prevalence of 2.16%. Absent LMCA was the second most common anomaly in our study with a prevalence of 0.80% and coronary artery fistula was third with a prevalence of 0.61%. Discussion: We found the prevalence of CAAs among the Turkish population of the Black Sea Region to be similar to previously published studies from our country. To avoid misunderstandings one must know the normal anatomy of coronary vasculature, variations, and the anomalies. When coronary angioplasty or cardiac surgery is planned in patients with CAA, special attention must be paid not to harm coronary arteries in unexpected locations.

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Section: Discussioncontrasting

confidence: 94%

Prevalence and characteristics of CAAs in the black sea region

Kayapınar¹

2018

Ann Clin Anal Med

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“…Finally, coronary artery fistulas had no significant difference in the origin as well as termination site of the fistulas between the sexes. 11 The frequency of small or large fistulas was also similar in men and women.…”

Section: Coronary Artery Diseasementioning

confidence: 79%

Section: Coronary Artery Diseasementioning

confidence: 99%

“…7,11,13 Aydar et al studied sex-difference in different subtypes of coronary artery anomaly. 11 The anomalous origin of the coronary arteries is the most common form of coronary artery anomaly. 6 They found that for a common type of anomalous origin, the circumflex and left anterior descending artery originating from separate ostia in the left aortic sinus, had notably greater incidents in women than men.…”

Section: Coronary Artery Diseasementioning

confidence: 99%

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Understanding the Role of Sex in Heart Valve and Major Vascular Diseases

Masjedi

Ferdous

2015

Cardiovasc Eng Tech

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Cardiovascular disease (CVD) is the major cause of mortality in the elderly population. The cost of CVD treatment and surgeries was over $300 billion in the United States alone in 2010, making this disorder a critical healthcare issue. Many studies have suggested sex as a risk factor for heart valve and major vascular diseases, such as aortic valve stenosis, mitral prolapse and regurgitation, atherosclerosis, coronary artery disease, and abdominal aortic aneurysm. Unfortunately, only a handful of studies have illustrated the role of sex in the etiology and progression of these disorders. Moreover, knowledge of biomolecular factors that affect these diseases in men and women is very limited. Numerous clinical studies have revealed obvious differences in the prevalence of these diseases between the sexes. These reports were supported by a few molecular and cellular physiology studies that associated this difference to sex and sex hormones. In particular, male sex has commonly been identified as a risk factor for majority of heart valve and vascular diseases, whereas females have been identified as higher risk for certain disorders as well. In addition, menopause is a critical issue that turns the tables against women and enhances complications in their cardiovascular structure due to hormonal change. In this review, major vascular and heart valve diseases for which sex is associated as a risk factor have been reviewed to highlight the importance of this risk factor in CVDs.

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“…The prevalence of CAA is reported to be 0.6-5.6% in patients undergoing CCA, and 0.3% in surgery and autopsy series (20,(22)(23)(24)(25). Improved CCTA technology enabled us to detect occult and clinically not important CAAs which otherwise remained undiagnosed by CCA with a high accuracy (4).…”

Section: Coronary Artery Anomaliesmentioning

confidence: 99%

Evaluation of anatomy, variation and anomaly of the coronary arteries with coronary computed tomography angiography

Erol¹,

Koplay²,

Paksoy³

2012

Anadolu Kardiyol Derg

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Recent technical advances in computed tomography (CT) have improved image quality, diagnostic performance and accuracy of coronary CT angiography (CCTA). Latest dose-reduction strategies reduce radiation dose to an acceptable level even lower than that from conventional coronary angiography. CCTA is a noninvasive imaging modality which can effectively show complex coronary artery anatomy, variations and congenital anomalies of the coronary arteries. Congenital coronary artery anomalies are rare entities, but sometimes have a potential of producing fatal consequences. CCTA is now the primary imaging modality for the evaluation and diagnosis of coronary artery anomalies. Reporters should, therefore, have knowledge of the normal coronary artery anatomy and variations, and understand the different types of coronary artery anomalies and their respective prognostic implications in order to provide correct diagnosis and to prevent undesirable mistakes during interventional and surgical procedures. (Anadolu Kardiyol Derg 2013; 13: 154-64) Key words: Coronary artery anatomy, variation, anomalies, coronary computed tomography angiography Review Derleme 154ÖZET Bilgisayarlı tomografi (BT) teknolojisinde yaşanan teknik ilerlemeler koroner BT anjiyografinin görüntü kalitesinde, tanısal performansında ve doğ-ruluğunda iyileşmelere yol açmıştır. Yeni geliştirilen doz düşürmeye yönelik stratejiler sayesinde radyasyon dozu kabul edilebilir düzeylere ve hatta konvansiyonel koroner anjiyografi değerlerinin altına inmiştir. Koroner BT anjiyografi invaziv olmayan bir görüntüleme yöntemi olup koroner arterlerin kompleks anatomisini, varyasyonlarını ve konjenital anomalilerini etkili bir şekilde göstermektedir. Konjenital koroner arter anomalileri nadir görülen patolojiler olsa da bazen hayatı tehdit edebilen sonuçlar doğurma potansiyeline sahiptir. Koroner BT anjiyografi günümüzde koroner arter anomalilerinin tanısında primer görüntüleme yöntemi olarak kullanılmaktadır. Bu nedenle raporlayıcıların doğru tanı koyabilmeleri ve cerrahi ve girişimsel işlemler sırasında istenmeyen hataları önleyebilmeleri için koroner arter anatomisini, varyasyonlarını ve koroner arter anomalilerinin farklı tiplerini ve bunların prognostik sonuçlarını bilmeleri gereklidir. (Anadolu Kardiyol Derg 2013; 13: 154-64) Anahtar kelimeler: Koroner arter anatomisi, varyasyon, anomali, koroner bilgisayarlı tomografi anjiyografi

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Gender Differences in the Types and Frequency of Coronary Artery Anomalies

Cited by 23 publications

References 30 publications

Prevalence and characteristics of CAAs in the black sea region

Prevalence and characteristics of CAAs in the black sea region

Understanding the Role of Sex in Heart Valve and Major Vascular Diseases

Evaluation of anatomy, variation and anomaly of the coronary arteries with coronary computed tomography angiography

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