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Letter to the Editor| Volume 145, ISSUE 3, P525-526, December 03, 2010

Incidence of anomalous coronary artery origins in 577 consecutive adults undergoing cardiac CT angiography

Published:May 10, 2010DOI:https://doi.org/10.1016/j.ijcard.2010.04.059
Incidence of anomalous coronary artery origins in 577 consecutive adults undergoing cardiac CT angiography
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      Coronary artery anomalies may be benign or cause sudden cardiac death (SCD) [
      • Cheitlin M.D.
      • de Castro C.M.
      • McAllister H.A.
      Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, a not-so-minor congenital anomaly.
      Circulation. 1974; 50: 780-787
      ,
      • Longenecker C.G.
      • Reemtsma K.
      • Creech Jr, O.
      Surgical implications of single coronary artery. A review and two case reports.
      Am Heart J. 1961; 61: 382-386
      ,
      • Eckart R.E.
      • Scoville S.L.
      • Campbell C.L.
      • et al.
      Sudden death in young adults: a 25-year review of autopsies in military recruits.
      Ann Intern Med. 2004; 141: 829-834
      ]. The incidence of anomalous coronary artery origins (AOCA) has been previously reported as 0.3 to 1.1% by catheterization, echocardiography and autopsy; however limited data exists regarding their prevalence utilizing cardiac computed tomographic angiography (CCTA) [
      • Duran C.
      • Kantarci M.
      • Durur S.I.
      • et al.
      Remarkable anatomic anomalies of coronary arteries and their clinical importance: a multidetector computed tomography angiographic study.
      J Comput Assist Tomogr. 2006; 30: 939-948
      ,
      • Alexander R.W.
      • Griffith G.C.
      Anomalies of the coronary arteries and their clinical significance.
      Circulation. 1956; 14: 800-805
      ,
      • Kimbiris D.
      • Iskandrian A.S.
      • Segal B.L.
      • Bemis C.E.
      Anomalous aortic origin of coronary arteries.
      Circulation. 1978; 58: 606-615
      ,
      • Yamanaka O.
      • Hobbs R.E.
      Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.
      Catheter Cardiovasc Diagn. 1990; 21: 28-40
      ,
      • Rodriguez-Granillo G.A.
      • Rosales M.A.
      • Pugliese F.
      • Fernandez-Pereira C.
      • Rodriguez A.E.
      Prevalence and characteristics of major and minor coronary artery anomalies in an adult population assessed by computed tomography coronary angiography.
      EuroIntervention. 2009; 4: 641-647
      ]. CCTA is an increasingly utilized noninvasive method for evaluating coronary artery anatomy in symptomatic patients.

      Keywords

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      References

        • Cheitlin M.D.
        • de Castro C.M.
        • McAllister H.A.
        Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, a not-so-minor congenital anomaly.
        Circulation. 1974; 50: 780-787
        View in Article
        • Longenecker C.G.
        • Reemtsma K.
        • Creech Jr, O.
        Surgical implications of single coronary artery. A review and two case reports.
        Am Heart J. 1961; 61: 382-386
        View in Article
        • Eckart R.E.
        • Scoville S.L.
        • Campbell C.L.
        • et al.
        Sudden death in young adults: a 25-year review of autopsies in military recruits.
        Ann Intern Med. 2004; 141: 829-834
        View in Article
        • Duran C.
        • Kantarci M.
        • Durur S.I.
        • et al.
        Remarkable anatomic anomalies of coronary arteries and their clinical importance: a multidetector computed tomography angiographic study.
        J Comput Assist Tomogr. 2006; 30: 939-948
        View in Article
        • Alexander R.W.
        • Griffith G.C.
        Anomalies of the coronary arteries and their clinical significance.
        Circulation. 1956; 14: 800-805
        View in Article
        • Kimbiris D.
        • Iskandrian A.S.
        • Segal B.L.
        • Bemis C.E.
        Anomalous aortic origin of coronary arteries.
        Circulation. 1978; 58: 606-615
        View in Article
        • Yamanaka O.
        • Hobbs R.E.
        Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.
        Catheter Cardiovasc Diagn. 1990; 21: 28-40
        View in Article
        • Rodriguez-Granillo G.A.
        • Rosales M.A.
        • Pugliese F.
        • Fernandez-Pereira C.
        • Rodriguez A.E.
        Prevalence and characteristics of major and minor coronary artery anomalies in an adult population assessed by computed tomography coronary angiography.
        EuroIntervention. 2009; 4: 641-647
        View in Article
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      Article info

      Publication history

      Published online: May 10, 2010
      Accepted: April 17, 2010
      Received: April 10, 2010

      Footnotes

      ☆Disclaimer: The opinions or assertions herein are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense.

      Identification

      DOI: https://doi.org/10.1016/j.ijcard.2010.04.059

      Copyright

      Published by Elsevier Inc.

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