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The latter predispose a person to early vascular compromise, ischemia, and fatal infarction. Cademartiri F, La Grutta L, Malagò R, Alberghina F, Meijboom WB, Pugliese F, et al .Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. He who makes a beast of himself gets rid of the p...
CT coronary angiography has helped radiologists understand the variations and anomalies of the anatomy of the coronary arteries and, thus, to alert the cardiologist whenever such an anomaly is present.
This can be of immense help to the clinician planning interventional procedures such as stenting, balloon dilatation, or graft surgery, particularly when there are secondary changes of calcification, plaque formation and stenosis.
Recently, Cademartiri et al , have reported 100 (18%) anomalies from 543 consecutive CTCAs done using a 64-slice CT scanner.
According to him, catheter angiography cannot detect ectopic openings of coronary arteries since it is only a two-dimensional study.
South Asian immigrants to the United States, like me, develop earlier and more malignant heart disease and have higher death rates than any other major ethnic group in this country. Traditional cardiac risk models, developed by studying mostly white Americans, don’t fully apply to ethnic communities.
This is a knowledge gap that must be filled in the coming years.
Keywords: Coronary arteries How to cite this URL: Rahalkar AM, Rahalkar MD.
Pictorial essay: Coronary artery variants and anomalies.
In the literature there are many terms that have been used to describe variations in coronary anatomy, e.g., abnormal, ectopic, atypical, anomalous, aberrant, accessory, etc.
A) Variants refer to simple variations in the structural anatomy. B) Anomalies are those variations related to the origin and course of the coronary arteries; they may be benign or dangerous (the so-called malignant anomaly).