The prevalence of coronary artery anomalies in Qassim Province detected by cardiac computed tomography angiography

• Main Authors: Osama A. Smettei, Sawsan Sayed, Rami M. Abazid
• Format: Article
• Language: English
• Published: Saudi Heart Association 2017-04-01
• Series: Journal of the Saudi Heart Association
• Subjects: Coronary artery anomalies; Cardiac computed tomography; Prevalence
• Online Access: http://www.sciencedirect.com/science/article/pii/S1016731516301312

Background: Coronary artery anomalies (CAAs) affect about 1% of the general population based on invasive coronary angiography (ICA) data, computed tomography angiography (CTA) enables better visualization of the origin, course, relation to the adjacent structures, and termination of CAAs compared to ICA. Objective: The aim of our work is to estimate the frequency of CAAs in Qassim province among patients underwent cardiac CTA at Prince Sultan Cardiac Center. Methods: Retrospective analysis of the CTA data of 2235 patients between 2009 and 2015. Results: The prevalence of CAAs in our study was 1.029%. Among the 2235 patients, 241 (10.78%) had CAAs or coronary variants, 198 (8.85%) had myocardial bridging, 34 (1.52%) had a variable location of the Coronary Ostia, Twenty two (0.98%) had a separate origin of left anterior descending (LAD) and left circumflex coronary (LCX) arteries, ten (0.447%) had a separate origin of the RCA and the Conus artery. Seventeen (0.76%) had an anomalous origin of the coronaries. Six (0.268%) had a coronary artery fistula, which is connected mainly to the right heart chambers, one of these fistulas was complicated by acute myocardial infarction. Conclusions: The incidence of CAAs in our patient population was similar to the former studies, CTA is an excellent tool for diagnosis and guiding the management of the CAAs.