Analysis and outcome of single coronary artery detected on CCTA: Coronary Artery Detected on coronary computed tomography angiography

Ammar Abdul  Rahman; Amna  Zainab; Ayesha  Siddiqa; Muhammad Zarrar  Arif Butt

doi:10.54393/pbmj.v5i2.302

Authors

Ammar Abdul Rahman Rai Medical College
Amna Zainab Sheikh Zayed Hospital, Lahore, Pakistan
Ayesha Siddiqa Fatima Jinnah Medical University, Lahore, Pakistan
Muhammad Zarrar Arif Butt Fatima Memorial Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i2.302

Keywords:

CCTA, Artery, Patients, Signi

Abstract

A congenital abnormality known as a single coronary artery (SCA) is usually discovered by coincidence. SCA is thought to affect as little as 0.024% to 0.066% of people who have routine coronary artery catheterization. Objectives: TSingle coronary arteries found on coronary angiography are the major focus of this investigation on coronary computed tomography angiography (CCTA). Material and methods: The Rai Medical College in Bangalore conducted a cross-sectional study between April 2021 and November 2021. Pre-cardiac surgery assessment, evaluation of a coronary stent or graft, evaluation of cardiomyopathy or congenital heart disease, and evaluation of syncope were the most prevalent reasons for CCTA. These were followed by chest discomfort to rule out coronary artery disease. Results: Significant differences were seen in SBP, DBP, PP, and BMI between the control and SCA groups (P0.05). Neither group differed substantially from the other in terms of age, FBG, TG, TC, HDL-C, or LDL-C (P0.05). Conclusion: According to the course an abnormal artery takes, SCA can be divided into several unique subgroups for better understanding.

References

Pantoni L. Cerebral small vessel disease: from pathogenesis and clinical characteristics to therapeutic challenges. Lancet Neurol 2010; 9: 689-701.

https://doi.org/10.1016/S1474-4422(10)70104-6

Zhang WW. Advances in Cerebral Small Vessel Disease. Chin J Cerebrovascular Disease (Electronic Version), 2008; 2 (4): 272-277.

Schmidtke K, Hüll M. Cerebral small vessel disease: how does it progress? J Neurol Sci 2005;2(30):13-20.

https://doi.org/10.1016/j.jns.2004.11.048

Bjallmark A, Lind B, Peolsson M, et a1. Ultrasonographic strain imaging is superior to conventional non-invasive measures of vascular stiffness in the detection of age-dependent differences in the mechanical properties of the common carotid artery. Eur J Echocardiography, 2010; 11: 630-636.

https://doi.org/10.1093/ejechocard/jeq033

Wang JH, Wang YH, Wu CL, et al. Quantitative evaluation of carotid elasticity in normal adults by echo tracking technique. Chin J Ultrasonogr, 2005;14(4):292-294.

Wen CY, Zhuang D. Assessment of common carotid artery function in patients with systemic sclerosis by quality arterial stiffness. Journal of Clinical Ultrasound in Medicine, 2011;13(6):388-391.

Lipton M. J., Barry W. H., Obrez I., Silverman J. F., Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130(1):39-47.

https://doi.org/10.1148/130.1.39

Al Umairi R. S., Al Kindi F., Al Busaidi F. Anomalous origin of the left coronary artery from the pulmonary artery: the role of multislice computed tomography (MSCT) Oman Medical Journal. 2016;31(5):387-389.

https://doi.org/10.5001/omj.2016.77

Zukic F., Miljko M., Vegar-Zubovic S., Behmen A., Arapovic A. K. Prevalence of coronary artery anomalies detected by coronary CT angiography in Canton Sarajevo, Bosnia, and Herzegovina. Psychiatria Danubian. 2017;29(4):830-834.

Smettei O. A., Sayed S., Abizaid R. M. The prevalence of coronary artery anomalies in Qassim province detected by cardiac computed tomography angiography. Journal of the Saudi Heart Association. 2017;29(2):84-89.

https://doi.org/10.1016/j.jsha.2016.07.006

Sirasapalli C. N., Christopher J., Ravilla V. Prevalence and spectrum of coronary artery anomalies in 8021 patients: a single-center study in south India. Indian Heart Journal. 2018;70(6):852-856.

https://doi.org/10.1016/j.ihj.2018.01.035

Gräni C., Benz D. C., Schmied C., et al. Prevalence and characteristics of coronary artery anomalies detected by coronary computed tomography angiography in 5634 consecutive patients in a single center in Switzerland. Swiss Medical Weekly. 2016;146

https://doi.org/10.4414/smw.2016.14294

Graidis C., Dimitriadis D., Karasavvidis V., et al. Prevalence and characteristics of coronary artery anomalies in an adult population undergoing multidetector-row computed tomography for the evaluation of coronary artery disease. BMC Cardiovascular Disorders. 2015;15(1):p. 112.

https://doi.org/10.1186/s12872-015-0098-x

Fujimoto S., Kondo T., Orihara T., et al. Prevalence of anomalous origin of coronary artery detected by multi-detector computed tomography at one center. Journal of Cardiology. 2011;57(1):69-76.

https://doi.org/10.1016/j.jjcc.2010.10.006

Soon K. H., Selvanayagam J., Bell K. W., et al. Giant single coronary system with coronary cameral fistula diagnosed on MSCT. International Journal of Cardiology. 2006;106(2):276-278.

https://doi.org/10.1016/j.ijcard.2004.12.093

Shrivastava S., Mohan J. C., Mukhopadhyay S., Rajani M., Tandon R. Coronary artery anomalies in tetralogy of Fallot. Cardiovascular and Interventional Radiology. 1987;10(4):215-218.

https://doi.org/10.1007/BF02593873

Said S. A., De Voogt W. G., Bulut S., et al. Coronary artery disease in the congenital single coronary artery in adults: a Dutch case series. World Journal of Cardiology. 2014;6(4):196-204. DOI: 10.4330/wjc.v6.i4.196.

https://doi.org/10.4330/wjc.v6.i4.196

Poynter J. A., Williams W. G., McIntyre S., et al. Anomalous aortic origin of a coronary artery: a report from the congenital heart surgeons society registry. World Journal for Pediatric and Congenital Heart Surgery. 2014;5(1):22-30.

https://doi.org/10.1177/2150135113516984

Ermis E., Demirelli S., Korkmaz A. F., Sahin B. D., Kantarci A. An isolated single L-II type coronary artery anomaly: a rare coronary anomaly. Intractable & Rare Diseases Research. 2015;4(4):203-206.

https://doi.org/10.5582/irdr.2015.01025

Mahapatro, A.K.; Patro, A.S.; Sujatha, V.; Sinha, S.C. Isolated single coronary artery presenting as acute coronary syndrome: Case report and review. Int. J. Angiol. 2014, 23, 143-146.

https://doi.org/10.1055/s-0033-1363496

Ermis, E.; Demirelli, S.; Korkmaz, A.F.; Sahin, B.D.; Kantarci, A. An isolated single L-II type coronary artery anomaly: A rare coronary anomaly. Intractable Rare Dis. Res. 2015, 4, 203-206.

https://doi.org/10.5582/irdr.2015.01025