Abstract
Objective: The aim of the study was to correlate the clinical and radiologic features of the coronary artery anomalies in the Indian subcontinent. Methods: A total of 1000 patients who underwent 128 rows multidetector computed tomography (MDCT) angiography were evaluated for the presence of congenital coronary artery anomalies. Results: Coronary artery anomalies were found in 31 patients; 25 were males and 6 were females with a mean age of 35 years (range 1.9-79 years). The anomaly of origin in 48.3% ( n = 15), course in 29% ( n = 9) and anomalies of termination and intrinsic anomalies of coronary arteries were found in 12.9% ( n = 4) and 9.6% ( n = 3), respectively. Atherosclerosis was noted in 16% patients ( n = 5). Conclusions: MDCT detects and delineates the complex anatomy of the coronary anomalies, which helps in therapeutic management of the patients. Coronary artery anomalies predispose the vessel to atherosclerotic changes.
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