Coronary Anamolies usefull for interventionist- Copy.pptx

Discrption of Coronary anomalies

1. Coronary Anomalies Dr. Manzoor Mohammad Khan

2. Frequency Coronary artery anomalies are observed in 0.3-1.3% of patients undergoing diagnostic coronary angiography In approximately 1% of routine autopsy examinations A nd in 4- 15 % of young people who experience sudden death

3. In the general population, the incidence of a single coronary artery is approximately 0.024 % Coronary artery fistulas are found in 0.2% of patients undergoing coronary angiography Coronary artery fistulas are present in 0.002% of all patients with congenital heart disease

4. • Ectopic origin of right coronary artery or left main trunk from posterior sinus of Valsalva • Ectopic coronary origin from the ascending aorta

5. Separate Ostia Most common congenital anomaly Larger catheter for LCx and smaller for LAD

6. RCA Off Left Cusp Not hemodynamically significant Multipurpose, AL, JL Catheters

7. RCA Off Left Cusp

8. Fistulas

9. Case 47 yo female with ulcerative colitis with 1 day of chest pain ECG: Sinus tach Troponin T: 0.18

10. What do you think ?

11. Key Points

12. Thank you