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The prevalence of coronary artery anomalies with coronary computed tomography
Hakkı Yeşilyurt1, Uğur Aksu2, Kamuran Kalkan3
1Ministry of Health, Ankara, Turkey.
Insights
Coronary artery anomalies (CAAs) were found in 2.65% of the Turkish population using coronary computed tomography (CCT). This study details the prevalence of various CAAs detected via CCT imaging.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Coronary artery anomalies (CAAs) are congenital variations in the structure of the heart's arteries.
- Prevalence data for CAAs can vary significantly across different populations.
- Accurate detection of CAAs is crucial for clinical management and risk stratification.
Purpose of the Study:
- To investigate the prevalence of various coronary artery anomalies (CAAs) in the Turkish population.
- To evaluate the efficacy of 256-detector row coronary computed tomography (CCT) in detecting CAAs.
Main Methods:
- A retrospective analysis of 2973 patients who underwent 256-detector row coronary computed tomography (CCT).
- Evaluation of specific CAAs including high take-off of the right coronary artery (RCA) and left coronary artery (LCA), anomalous origins from the pulmonary artery or aortic sinuses, and separate ostia.
Main Results:
- A total of 79 patients (2.65%) were diagnosed with CAAs.
- The study identified varying frequencies for different anomalies, such as high take-off RCA (0.1%), LCA arising from the right sinus (0.23%), and RCA originating from the left sinus (0.50%).
- Coronary computed tomography (CCT) proved to be a high-quality imaging modality for CAA detection.
Conclusions:
- Coronary computed tomography (CCT) is an effective tool for detecting coronary artery anomalies.
- The prevalence of CAAs in the studied Turkish population was found to be 2.65%.
Background/Aim:
In this study, the aim is to investigate the prevalence of various coronary artery anomalies (CAAs), evaluated by 256-detector row coronary computed tomography (CCT), within the Turkish population.
Materials And Methods:
We included 2973 patients who had received CCT. The high take-off right coronary artery (RCA) and left coronary artery (LCA), the RCA arising from the left sinus (LS), the LCA arising from the right sinus (RS), the circumflex artery (CX) arising from the RS, the single coronary ostium originating from the RS, the CX arising from the RCA, and the RCA arising from the pulmonary artery were evaluated.
Results:
Seventy-nine patients (2.65%) were diagnosed with CAAs. The frequency of high take-off of the RCA, LCA, and both was 0.1%, 0.67%, and 0.06%, respectively. Frequency of separate ostium of the left anterior descending artery and CX was 0.67%. The frequency of RCA originating from the LS, CX originating from the RS, LCA originating from the RS, LCA and RCA originating from the pulmonary artery, and CX originating from the RCA was 0.50%, 0.10%, 0.23%, 0.03%, and 0.20%, respectively.
Conclusion:
In this study, CCT was demonstrated to be a high-quality imaging modality for the detection of CAAs.
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