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The International Journal of Cardiovascular Imaging

, Volume 34, Issue 9, pp 1331–1337 | Cite as

Analysis of anomalous origin of coronary arteries by coronary angiography in Chinese patients with coronary artery disease

  • Yuan Tian
  • Ying Yuan
  • Hang Lu
  • Liang Xu
  • Wei Xian Yang
  • Chao Wei Mu
  • Hai Bo Liu
  • Jue Chen
  • Ke Fei Dou
  • Yi Da Tang
  • Jin Qing Yuan
  • Yong Jian Wu
  • Hong Bing Yan
  • Bo Xu
  • Shu Bin Qiao
  • Yue Jin Yang
  • Run Lin Gao
  • Hong Qiu
Original Paper
  • 106 Downloads

Abstract

With the development of coronary angiography for the diagnosis of coronary artery disease, its clinical significance in detecting coronary artery anomalies and evaluating the seriousness is attracting more attention. In the study we aimed to assess the prevalence of anomalous origin of coronary arteries in a Chinese population who underwent coronary angiography for coronary artery disease, and explore any patterns in the common variants and typical anomalies, especially the potentially serious ones. Patients who underwent coronary angiography from January 2013 to December 2016 in Fuwai Hospital were included. Baseline characteristics and angiographic data were collected, the incidence of anomalous origin of coronary arteries was calculated, and the typical patterns were analyzed. Comparisons between the present results and those of existing reports were also conducted. A total of 110,158 patients were included in the study, among which 0.76% (835 cases) had anomalous origin of coronary arteries. Among the anomalies, the incidences of anomalous origin of the right coronary artery (RCA), the left coronary artery (LCA), both the RCA and LCA, single coronary artery (SCA) and dextrocardia were 76.76% (641 cases), 14.61% (122 cases), 1.80% (15 cases), 4.67% (39 cases) and 2.16% (18 cases), respectively. Moreover, 47.54% (397 cases) of the anomalies were shown to be potentially serious, and an RCA arising from the left sinus of Valsalva (LSV) was the most common subtype (39.28%, 328 cases). Although anomalous origin of coronary arteries is not quite common, more clinical attention should be paid to this condition due to the potential risk of serious sequelae.

Keywords

Anomalous origin Coronary artery Coronary angiography Coronary artery disease 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Yuan Tian
    • 1
  • Ying Yuan
    • 2
  • Hang Lu
    • 1
  • Liang Xu
    • 2
  • Wei Xian Yang
    • 2
  • Chao Wei Mu
    • 2
  • Hai Bo Liu
    • 2
  • Jue Chen
    • 2
  • Ke Fei Dou
    • 2
  • Yi Da Tang
    • 2
  • Jin Qing Yuan
    • 2
  • Yong Jian Wu
    • 2
  • Hong Bing Yan
    • 2
  • Bo Xu
    • 2
  • Shu Bin Qiao
    • 2
  • Yue Jin Yang
    • 2
  • Run Lin Gao
    • 2
  • Hong Qiu
    • 2
  1. 1.Urumqi Friendship HospitalUrumqiChina
  2. 2.National Center for Cardiovascular Diseases, Fuwai HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina

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