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Congenital coronary anomalies in Iraqi adult population
Joint Authors
al-Amiri, Hamid Abd al-Wahhab
al-Najjar, Hasan Yusuf
Bairam, Amjad Rahman
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 50, Issue 2 (30 Jun. 2008), pp.1-18, 18 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2008-06-30
Country of Publication
Iraq
No. of Pages
18
Main Subjects
Topics
Abstract EN
Background : Geographic variations in the incidence of different congenital coronary anomalies are well known, but infrequently studied in the Iraqi population.
Recognition of coronary anomalies is important in patients undergoing coronary arteriogrphy ; coronary interventions and cardiac surgery.
Variation in the frequency of primary congenital coronary anomalies may possibly have a genetic background.
Patients and methods : Three thousands adult patients underwent diagnostic coronary angiography at two cardiac centers in Baghdad between January 2003 to March 2006.
Their angiographic films were reviewed by at least two experts in coronary angiographic study.
Results : Among 3000 adult patients who underwent diagnostic coronary angiography, 28 (0.93 %) patients (16 males, 12 females) had anomalous coronary artery.
The mean age was 46 ± 8 years (range from 28-73 years).Twenty four patients (85 %) had anomalies of origin and distribution, while the remaining four (15 %) had coronary artery fistulae.
Abnormal origin of the left circumflex was the most common anomaly, seen in 17(60 %) patients.
Coronary artery fistula was seen in four patients; from the left anterior coronary artery to the pulmonary trunk in two cases and from the right coronary to the pulmonary trunk in the other cases.
Left main stem was absent in four cases (15 %).
While abnormal origin of the right coronary artery from the left circumflex was seen in two cases.
Abnormal origin of the right coronary artery from the pulmonary artery was seen in just one case (3.5 %).
Atherosclerotic plaques in the anomalous artery were seen in four cases (15 %) much less than overall case of coronary artery disease in those who underwent coronary angiography (60 %).
Conclusion : Isolated congenital coronary anomalies in adult is rare and there does not appear to be an increased risk for development of atherosclerosis in anomalous coronary arteries.
American Psychological Association (APA)
al-Amiri, Hamid Abd al-Wahhab& al-Najjar, Hasan Yusuf& Bairam, Amjad Rahman. 2008. Congenital coronary anomalies in Iraqi adult population. Journal of the Faculty of Medicine Baghdad،Vol. 50, no. 2, pp.1-18.
https://search.emarefa.net/detail/BIM-331286
Modern Language Association (MLA)
al-Najjar, Hasan Yusuf…[et al.]. Congenital coronary anomalies in Iraqi adult population. Journal of the Faculty of Medicine Baghdad Vol. 50, no. 2 (2008), pp.1-18.
https://search.emarefa.net/detail/BIM-331286
American Medical Association (AMA)
al-Amiri, Hamid Abd al-Wahhab& al-Najjar, Hasan Yusuf& Bairam, Amjad Rahman. Congenital coronary anomalies in Iraqi adult population. Journal of the Faculty of Medicine Baghdad. 2008. Vol. 50, no. 2, pp.1-18.
https://search.emarefa.net/detail/BIM-331286
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-331286