Prevalence of coronary anomalies detected by computed tomography at the Instituto Nacional Cardiovascular- INCOR
Objective: To determine the prevalence of coronary anomalies (CA) in patients evaluated by 64-detector computed tomography (CT) at the Instituto Nacional Cardiovascular in Peru between 2016 and 2020. Materials and methods: Retrospective observational study, coronary artery CT scans of 1486 patients...
| Authors: | , , , , , |
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2022 |
| Country: | Perú |
| Institution: | Instituto Nacional Cardiovascular |
| Repository: | Archivos peruanos de cardiología y cirugía cardiovascular |
| Language: | Spanish |
| OAI Identifier: | oai:apcyccv.org.pe:article/233 |
| Online Access: | https://apcyccv.org.pe/index.php/apccc/article/view/233 |
| Access Level: | Open access |
| Keyword: | Arterias Coronarias Angiografía por Tomografía Computarizada Malformaciones de los Vasos Coronarios Perú Coronary Vessels Computed Tomography Angiography Coronary Vessel Anomalies Peru |
| Summary: | Objective: To determine the prevalence of coronary anomalies (CA) in patients evaluated by 64-detector computed tomography (CT) at the Instituto Nacional Cardiovascular in Peru between 2016 and 2020. Materials and methods: Retrospective observational study, coronary artery CT scans of 1486 patients were performed on a 64-detector row CT scanner and reviewed in search for coronary anomalies. Results: The prevalence of CA detected by CT was 4.71% (70 cases) of which 64.3% were male. Abnormalities of origin were the most frequent, of which the origin of a coronary artery from the opposite coronary sinus was the most common (48.6%), with the right coronary being the main anomalous artery (31%), and the main path was interarterial (31%). Anomalous origin of the left main coronary from the pulmonary artery was found in 5 patients. Among the anomalies of the intrinsic coronary arterial anatomy the most frequent was the double left anterior descending artery (10%). Coronary fistulas accounted for 11.4% of cases. Conclusions: The prevalence of CA detected by 64-detector CT in a Peruvian institute was 4.71%. The most frequent coronary anomaly was the origin of the right coronary artery from the left coronary sinus with interarterial trajectory. |
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