Angiographic coronary artery anatomy in Sudan Heart Centre

Main Article Content

Abdelmoneim AA Abdellah
Ahmed SA Elsayed
Mohamed A Hassan

Abstract

Abstract
Objectives: The objectives were to study the normal coronary artery anatomy, to determine the incidence of the
normal coronary artery variations and anomalies from coronary angiographic studies.
Methods: This is a descriptive, retrospective study carried out in Sudan Heart Centre on patients seen during
the period from Jan 2001 to Dec 2004. The coronary artery angiography data was collected by a check list and
was revised by two of the authors.
Results: Four hundred and twenty nine patients who had coronary angiography which showed no coronary
artery pathology were included in this study. 55% were females. The mean age of the patients was 54.32. Four
hundred patients (93%) had normal coronary artery anatomy, 24 (6%) had normal coronary artery variations
and 5 (1%) had coronary artery anomalies. Right dominant circulation was found in 77% of the patients, while
15% of subjects had co dominant and 8% left dominant circulation.
Conclusions: The incidence of normal coronary artery anatomy and anomalies in this study are similar to those
reported in the literature. The majority of the hearts were right dominant and the co dominant circulation was
twice the left dominant ones.

Article Details

Section
Original Articles

References

References:
1- Snell, Richard S. Clinical Anatomy, 7th edition:
Lippincott Williams&Wilkins, 2004:pp1012.
2- Shirani J. Coronary artery anomalies, e Medicine
World Medical Library, Dec2002. www.
emedicine.com.
3- Angelini P.A Casual versus causal relationship in
corona, Texas Heart Institute Journal 2004; 31:
276-277.
4- Villagona R J. Anatomical variations in the
coronary arteries. Eur J Anat 2004; 8: 39 -53.
(2)
5- Liberthson RR. Dinsmore RE. Bharati S. Aberrant
coronary artery origin from the aorta: diagnosis
and clinical significance. Circulation 1974;
50:774-9.
6- Kimbiris D. Iskandrian AS. Segal BL. Bemis CE.
Anomolous aortic origin of coronary arteries.
Circulation 1978; 58:606-15.
7- Yamanaka O, Hobbs R. Coronary artery anomalies
in 126,595 patients undergoing coronary
arteriography. Cathet Cardiovasc diagn 1990;
21:28-40.
8- Angelini P. Coronary artery anomalies – Current
clinical issues. Texas Heart Inst J 2002; 29:2718.
9- Nurten S. Single coronary artery with subsequent
coursing of right coronary artery between aorta
and pulmonary artery. Int Heart J 2005; 46: 317322.
10- Mirza S, Nanda NC, Baweja G, Misra V, Pacifico
A. Multiple fistulae connecting the Right coronary
artery to the coronary sinus. Echocardiography.
2004;21:199-202.
11- Grossman W. Cardiac catheterization and
angiography. 2nd edition, Philadelphia, Lea &
Febiger 1980, pp427.