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Konvansiyonel Koroner Anjiografide İzole Tek Koroner Arter Anomalisi Sıklığı

Frequency of Isolated Single Coronary Artery Anomalies During Conventional Coronary Angiography

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

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Abstract (2. Language): 
Patients with isolated single coronary anomaly were retrospectively evaluated for clinical features, angiographic findings and treatment options. Medical records of 27714 patients, who had undergone diagnostic coronary angiography in Türkiye Yüksek İhtisas Hospital between October 2005 and October 2008, were researched and 10 patients with the diagnosis of isolated single coronary artery were recruited into the study. The mean age of patients were 60±13 years (ranging from 33 to 77), 4 of them were men (40%) and 6 were women (60%); mean ages 49±14,5 years (ranging from 33 to 68) and 67±8 years (ranging from 60 to 77), respectively. The patient's clinical and demographic features on admission, the treatment method used were recorded and the records of coronary angiography were examined again and were classified according to modified Lipton's classification. Isolated single coronary artery anomaly was diagnosed in 10 patients in the group of a 27714 patients who had undergone coronary angiography. Single coronary artery was originating from right sinus valsalva in 9 patients (90%), and from left sinus valsalva in a patient (10%). Four patients (40%) had severe atherosclerosis and 2 of them had undergone coronary by-pass surgery. The rest of the patients were followed-up under medical treatment. Although isolated single coronary artery anomaly is a rare entity, in hospitals in which coronary angiographic procedures are frequent, its incidence is incidentally more common. In most of the cases clinical outcomes are well and medical treatment and follow-up is enough. In cases which we plan coronary intervention, clinical features, presence of the atherosclerotic disease and the type of coronary anomaly should be watched out.
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Abstract (Original Language): 
İzole tek koroner arter anomalili (TKAA) olgular; klinik özellikleri, anjiyografik bulguları ve tedavi yöntemleri araştırılmak üzere geriye dönük değerlendirildi. Ekim 2005 ve Ekim 2008 tarihleri arasında Türkiye Yüksek İhtisas Hastanesi Kardiyoloji Kliniğinde 27.714 hastaya tanısal amaçlı yapılan koroner anjiyografi (KAG) kayıtları incelendi ve TKAA tanılı 10 hasta çalışmaya dahil edildi. Hastaların yaş ortalamaları 60±13, (dağılım 33-77 yıl ) idi, hastalardan 4' ü erkek (%40), 6' sı kadındı (%60) (yaş ortalaması sırasıyla 49±14,5 yıl; dağılım 33-68 yıl ve 67±8 yıl; dağılım 60-77 yıl). Hastaların başvuru sırasındaki klinik ve demografik özellikleri ve uygulanan tedavi yöntemleri kaydedildi ve KAG kayıtları izlenerek modifiye Lipton sınıflandırmasına göre sınıflandırıldı. Çalışmaya alınan kardiyak kateterizasyon yapılmış 27.714 hastanın 10 tanesinde TKAA tespit edilmiştir. Hastalardan 9 (%90) tanesinde tek koroner arter sağ sinüs valsalvadan orjin alırken, 1 hastada (%10) tek koroner arter sol sinüs valsalvadan orjin almıştı. Hastaların 4' ünde (%40) ciddi aterosklerotik kalp hastalığı mevcuttu ve bu hastaların 2' sine koroner baypas cerrahisi uygulandı. Diğer hastalar medikal takibe alındı. Tek koroner arter anomalileri nadir anomaliler olmasına rağmen özellikle KAG işleminin sık yapıldığı büyük merkezlerde insidental olarak daha sık saptanırlar. Birçok olgu klinik olarak iyi seyirlidir ve medikal izlem yeterlidir. Fakat tedavi planlanırken; klinik semptomlar, aterosklerotik kalp hastalığı varlığı, koroner anomalinin tipi dikkate alınmalıdır
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  • 3
137-141
  • Turkish

REFERENCES

References: 

1. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: Diagnosis, angiographic classification, and clinical significance Radiology 1979;130:39-47
2. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography Cathet Cardiovasc Diagn 1990;21:28-40
3. Desmet W, Vanhaecke J, Vrolix M, Van de Werf F, Piessens J, deGeest H. Isolated single coronary artery: A review of 50000 consecutive coronary angiographies Eur Heart J 1992;13:39-
47
4. Calder AL, Co EE, Sage MD. Coronary arterial abnormalities in pulmonary atresia with intact ventricular septum Am J Cardiol 1987;59:436-42
5. Shrivastava S, Mohan JC, Mukhopadhyay S, Rajani M, Tandon R. Coronary artery anomalies in tetralogy of Fallot Cardiovasc Intervent Radiol 1987;10:215-18
6. Kardos A, Balsai L, Rudas L, Gaal T, Horvath T, Talosi L, et al. Epidemiology of congenital coronary artery anomalies: A coronary arteriographic Study on a Central European Population Catheter Cardiovasc Diagn 1997;42:270-5
7. Angelini P, Velasco JA, Flamm S. Coronary anomalies. Incidence, pathophysiology and clinical relevance Circulation 2002;105:2449-54
8. Click RL, Holmes DR Jr, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: Location, degree of atherosclerosis and effect on survival-A report from the coronary artery surgery study J Am Coll Cardiol 1989;13:531-7
9. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies J Am Coll Cardiol 1992;20:640-7
10. Maron BJ, Thompson PD, Puffer JC, McGrew CA, Strong WB, Douglas PS et al. Cardiovascular preparticipation screening of competitive athletes: a statement for health professionals

from the Sudden Death Committee (Clinical Cardiology) and Congenital Cardiac Defects Committee (Cardiovascular Disease in the Young), American Heart Association Circulation 1996;94:850-6
11. Maron BJ. Sudden death in young athletes N Engl J Med 2003; 349:1064-75.
12. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes J Am Coll Cardiol 2000;35:1493-501
13. Basso C, Corrado D, Thiene G. Congenital coronary artery anomalies as an important cause of sudden death in the young Cardiol Rev 2001;9:312-7

14. Roberts WC. Major anomalies of coronary arterial origin seen in adulthood Am Heart J 1986;111:941-63
15. Doğan SM, Gürsürer M, Aydın M, Göçer H, Çabuk M, Dursun A. Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of Valsalva Int J Cardiol 2006;112:e57-9
16. Koşar F, Ermiş N, Erdil N, Battaloğlu B. Anomalous LAD and CX artery arising separately from the proximal right coronary artery-a case report of single coronary artery with coronary artery disease J Card Surg 2006;21:309-12
17. Baljepally, R.M., Pollock, S.H. Magram, MY. Transluminal angioplasty of a single coronary artery anomaly during acute myocardial infarction-a case report Angiology 1993;44: 81-4

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