Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

Prevalence of Congenital Coronary Artery Anomalies of Korean Men Detected by Coronary Computed Tomography

  • Park, Jae Hyun (Department of Internal Medicine, National Police Hospital) ;
  • Kwon, Nak Hyun (Department of Internal Medicine, National Police Hospital) ;
  • Kim, Jun Hwan (Department of Internal Medicine, National Police Hospital) ;
  • Ko, Yu Jin (Department of Internal Medicine, National Police Hospital) ;
  • Ryu, Seo Hee (Department of Internal Medicine, National Police Hospital) ;
  • Ahn, Seok Jin (Department of Internal Medicine, National Police Hospital) ;
  • Kim, Young Jung (Department of Internal Medicine, National Police Hospital) ;
  • Baeg, Joo Yeong (Department of Internal Medicine, National Police Hospital) ;
  • Kim, Jung Im (Chest Radiology, Human Medical Imaging & Intervention Center)
  • Published : 2013.01.30
⟨ Previous Next ⟩

Abstract

Background and Objectives: It has been demonstrated that the anomalous origin of coronary arteries (AOCA) are generally asymptomatic and rare diseases. However, some cases can cause severe life threatening events. To detect these anomalies, coronary angiographies and autopsies were used to detect coronary artery anomalies, but these procedures have limitations because of their invasiveness. The new device, Multidetector Computed Tomography (MDCT), now replaces the method of choice for detecting coronary anomalies. The prevalence of these anomalies in Korea has not been studied yet. This present analysis attempted to determine the prevalence of AOCA in Korean men by MDCT. Subjects and Methods: 1582 Korean male police officers underwent coronary MDCT for their health screening voluntarily. After reconstruction of CT images, we could confirm coronary artery anomalies. Results: The prevalence of AOCA in Korean men was 1.14% (18 out of 1582 cases). The most common abnormality (11 cases, 0.70%) was the origin of the coronary artery. Anomalies of the coronary artery end point were observed in 5 cases (0.32%). The anomalous location of coronary ostium on the aortic root was observed in 1 case (0.06%). An anomalous collateral vessel was observed in 1 case (0.06%). Conclusion: The prevalence of coronary artery anomalies in Korean men was 1.14%. Coronary CT is a safe and noninvasive modality for detecting coronary anomalies.

Keywords

References

  1. Ghersin E, Litmanovich D, Ofer A, et al. Anomalous origin of right coronary artery: diagnosis and dynamic evaluation with multidetector computed tomography. J Comput Assist Tomogr 2004;28:293-4. https://doi.org/10.1097/00004728-200403000-00022
  2. Maron BJ, Thompson PD, Puffer JC, 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. https://doi.org/10.1161/01.CIR.94.4.850
  3. Pelliccia A. Congenital coronary artery anomalies in young patients: new perspectives for timely identification. J Am Coll Cardiol 2001;37: 598-600. https://doi.org/10.1016/S0735-1097(00)01122-0
  4. Eckart RE, Scoville SL, Campbell CL, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004;141:829-34. https://doi.org/10.7326/0003-4819-141-11-200412070-00005
  5. Christner JA, Kofler JM, McCollough CH. Estimating effective dose for CT using dose-length product compared with using organ doses: consequences of adopting International Commission on Radiological Protection publication 103 or dual-energy scanning. AJR Am J Roentgenol 2010;194:881-9. https://doi.org/10.2214/AJR.09.3462
  6. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21:28-40. https://doi.org/10.1002/ccd.1810210110
  7. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105:2449-54. https://doi.org/10.1161/01.CIR.0000016175.49835.57
  8. Erol C, Seker M. Coronary artery anomalies: the prevalence of origination, course, and termination anomalies of coronary arteries detected by 64-detector computed tomography coronary angiography. J Comput Assist Tomogr 2011;35:618-24. https://doi.org/10.1097/RCT.0b013e31822aef59
  9. Tariq R, Kureshi SB, Siddiqui UT, Ahmed R. Congenital anomalies of coronary arteries: diagnosis with 64 slice multidetector CT. Eur J Radiol 2012;81:1790-7. https://doi.org/10.1016/j.ejrad.2011.05.034
  10. Zhang LJ, Yang GF, Huang W, Zhou CS, Chen P, Lu GM. Incidence of anomalous origin of coronary artery in 1879 Chinese adults on dualsource CT angiography. Neth Heart J 2010;18:466-70. https://doi.org/10.1007/BF03091817
  11. Fujimoto S, Kondo T, Orihara T, et al. Prevalence of anomalous origin of coronary artery detected by multi-detector computed tomography at one center. J Cardiol 2011;57:69-76. https://doi.org/10.1016/j.jjcc.2010.10.006
  12. Andreini D, Mushtaq S, Pontone G, et al. Additional clinical role of 64-slice multidetector computed tomography in the evaluation of coronary artery variants and anomalies. Int J Cardiol 2010;145:388-90. https://doi.org/10.1016/j.ijcard.2010.02.057
  13. Kos˛ar P, Ergun E, Oztürk C, Kos˛ar U. Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance. Diagn Interv Radiol 2009;15:275-83.
  14. Mayo JR, Leipsic JA. Radiation dose in cardiac CT. AJR Am J Roentgenol 2009;192:646-53. https://doi.org/10.2214/AJR.08.2066
  15. Duarte R, Fernandez G, Castellon D, Costa JC. Prospective Coronary CT Angiography 128-MDCT Versus Retrospective 64-MDCT: Improved Image Quality and Reduced Radiation Dose. Heart Lung Circ 2011;20: 119-25. https://doi.org/10.1016/j.hlc.2010.09.005
  16. Walker MJ, Olszewski ME, Desai MY, Halliburton SS, Flamm SD. New radiation dose saving technologies for 256-slice cardiac computed tomography angiography. Int J Cardiovasc Imaging 2009;25(2 suppl): 189-99. https://doi.org/10.1007/s10554-009-9444-3
  17. Sources and Effects of Ionizing Radiation: United Nations Scientific Committee on the Effects of Atomic Radiation. UNSCEAR 2000 Report to the General Assembly, With Scientific Annexes. New York, NY: United Nations;2000.
  18. Sundaram B, Kreml R, Patel S. Imaging of coronary artery anomalies. Radiol Clin North Am 2010;48:711-27. https://doi.org/10.1016/j.rcl.2010.04.006
  19. Sato Y, Inoue F, Kunimasa T, et al. Diagnosis of anomalous origin of the right coronary artery using multislice computed tomography: evaluation of possible causes of myocardial ischemia. Heart Vessels 2005; 20:298-300. https://doi.org/10.1007/s00380-005-0826-8
  20. Lee HJ, Hong YJ, Kim HY, et al. Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance. Radiology 2012;262:101-8. https://doi.org/10.1148/radiol.11110823
  21. Gersony WM. Management of anomalous coronary artery from the contralateral coronary sinus. Am Coll Cardiol 2007;50:2083-4. https://doi.org/10.1016/j.jacc.2007.08.023

Cited by

  1. Acute Myocardial Infarction in a Patient with an Anomalous Origin of the Right Coronary Artery from the Left Anterior Descending Coronary Artery vol.86, pp.5, 2013, https://doi.org/10.3904/kjm.2014.86.5.618
  2. Two Cases of Single Coronary Artery Ostium Presenting with Acute Myocardial Infarction: Right Coronary Artery Arising from Left Anterior Descending Artery vol.57, pp.2, 2013, https://doi.org/10.4068/cmj.2021.57.2.162