Investigation of the Frequency of Coronary Artery Anomalies in MDCT Coronary Angiography and Comparison of Atherosclerotic Involvement between Anomaly Types

被引:6
作者
Sahin, Tuna [1 ]
Ilgar, Mehtap [2 ]
机构
[1] Adnan Menderes Univ, Fac Med, Dept Radiol, TR-09100 Aydin, Turkey
[2] Malatya Training & Res Hosp, Dept Radiol, TR-44330 Malatya, Turkey
关键词
coronary artery anomaly; MDCT angiography; coronary atherosclerosis; ORIGIN; PATHOPHYSIOLOGY; CLASSIFICATION; POPULATION; PREVALENCE; FISTULAS; SINUS;
D O I
10.3390/tomography8030135
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Coronary artery anomalies (CAAs) are rare anatomical variations characterized by abnormal origin, course, or termination of the coronary arteries. This study aims to identify incidental CAAs in patients who underwent multidetector computed tomography coronary angiography (MDCTCA) to determine their incidence and to evaluate whether there is a difference between CAA types in terms of coronary atherosclerotic involvement. For this purpose, patients who underwent MDCTCA between December 2018 and January 2022 were retrospectively assessed. Of the 5200 MDCTCAs analyzed, CAAs were detected in 136 patients (2.61%). Of these 136 patients, 37 (27.2%) patients had an origin anomaly, 97 (71.3%) had a course anomaly, and 2 (1.5%) had a termination anomaly. There was no statistically significant difference between CAA types in terms of atherosclerotic involvement (p = 0.220). However, atherosclerotic involvement was high in vessels with anomalies when normal vessels with and without anomalies were compared (p = 0.005). Accurate detection of CAAs is vital for endovascular treatment or surgical intervention. MDCTCA is helpful both in the diagnosis of CAA and in the early detection and development of prevention strategies for coronary atherosclerosis.
引用
收藏
页码:1631 / 1641
页数:11
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