Coronary Anamolies usefull for interventionist- Copy.pptx
- 1. Coronary Anomalies Dr. Manzoor Mohammad Khan
- 6. Frequency Coronary artery anomalies are observed in 0.3-1.3% of patients undergoing diagnostic coronary angiography In approximately 1% of routine autopsy examinations And in 4- 15% of young people who experience sudden death
- 7. 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
- 21. Ectopic origin of right coronary artery or left main trunk from posterior sinus of Valsalva Ectopic coronary origin from the ascending aorta
- 23. Separate Ostia Most common congenital anomaly Larger catheter for LCx and smaller for LAD
- 26. RCA Off Left Cusp Not hemodynamically significant Multipurpose, AL, JL Catheters
- 27. RCA Off Left Cusp
- 32. Fistulas
- 39. Case 47 yo female with ulcerative colitis with 1 day of chest pain ECG: Sinus tach Troponin T: 0.18
- 45. What do you think?
- 46. Key Points
- 47. Thank you
Editor's Notes
- #45: Lvgram to see at regionals oto see if theres any hint. Nope!