Skip to content
2000
image of Comprehensive Review of Coronary Artery Anatomy Relevant to Cardiac Surgery

Abstract

In order to perform safe cardiac surgery, a knowledge of applied coronary artery anatomy and its variants is essential for cardiac surgeons.

In normal individuals, the right and the left coronary arteries arise from the corresponding sinuses of Valsalva within the aortic root. From the cardiac surgical perspective, the coronary artery is divided into the left main coronary artery, its branches (the left anterior descending artery and the circumflex artery), and the right coronary artery.

With high-risk cardiac surgeries, including redo procedures, becoming increasingly performed, abnormal courses and variations of the coronary arteries, if not recognized, can predispose the patient to avoidable coronary injuries, resulting in adverse outcomes of cardiac surgical procedures.

We aim to describe normal and applied coronary anatomy, common coronary artery variants previously reported, and their clinical relevance to both adult and paediatric cardiac surgery.

Loading

Article metrics loading...

/content/journals/ccr/10.2174/011573403X321942241023112517
2024-10-31
2025-01-18
Loading full text...

Full text loading...

References

  1. Dodd J.D. Ferencik M. Liberthson R.R. Cury R.C. Hoffmann U. Brady T.J. Abbara S. Congenital anomalies of coronary artery origin in adults: 64-MDCT appearance. AJR Am. J. Roentgenol. 2007 188 2 W138 W146 10.2214/AJR.05.2098 17242219
    [Google Scholar]
  2. Thiene G. Frescura C. Padalino M. Basso C. Rizzo S. Coronary Arteries: Normal Anatomy With Historical Notes and Embryology of Main Stems. Front. Cardiovasc. Med. 2021 8 649855 10.3389/fcvm.2021.649855 34136540
    [Google Scholar]
  3. Parikh N.I. Honeycutt E.F. Roe M.T. Neely M. Rosenthal E.J. Mittleman M.A. Carrozza J.P. Jr Ho K.K.L. Left and codominant coronary artery circulations are associated with higher in-hospital mortality among patients undergoing percutaneous coronary intervention for acute coronary syndromes: report From the National Cardiovascular Database Cath Percutaneous Coronary Intervention (CathPCI) Registry. Circ. Cardiovasc. Qual. Outcomes 2012 5 6 775 782 10.1161/CIRCOUTCOMES.111.964593 23110791
    [Google Scholar]
  4. Shriki J.E. Shinbane J.S. Rashid M.A. Hindoyan A. Withey J.G. DeFrance A. Cunningham M. Oliveira G.R. Warren B.H. Wilcox A. Identifying, characterizing, and classifying congenital anomalies of the coronary arteries. Radiographics 2012 32 2 453 468 10.1148/rg.322115097 22411942
    [Google Scholar]
  5. Loukas M. Groat C. Khangura R. Owens D.G. Anderson R.H. The normal and abnormal anatomy of the coronary arteries. Clin. Anat. 2009 22 1 114 128 10.1002/ca.20761 19097062
    [Google Scholar]
  6. Loukas M. Patel S. Cesmebasi A. Muresian H. Tubbs R.S. Spicer D. Dabrowski M. The clinical anatomy of the conal artery. Clin. Anat. 2016 29 3 371 379 10.1002/ca.22469 25255889
    [Google Scholar]
  7. Schlesinger M.J. Zoll P.M. Wessler S. The conus artery: A third coronary artery. Am. Heart J. 1949 38 6 823 836, illust 10.1016/0002‑8703(49)90884‑4 15395916
    [Google Scholar]
  8. Klein L.W. Campos E.P. The Embryologic Origin of Vieussens’ Ring. J. Invasive Cardiol. 2019 31 3 49 51 30819974
    [Google Scholar]
  9. Mantini C. Di Mascio V. Mastrodicasa D. Olivieri M. Procaccini L. Clemente A. Ricci F. Cademartiri F. Vieussens’ ring coronary collateral circulation: a natural bypass history. Acta Biomed. 2022 93 S1 e2022111 10.23750/abm.v93iS1.10865 35380556
    [Google Scholar]
  10. Bhasin D. Shrimanth Y. Sharma Y. Panda P. Vieussens’ Arterial Ring. J. Invasive Cardiol. 2022 34 4 E343 E344 10.25270/jic/21.00390 35366229
    [Google Scholar]
  11. Saremi F. Abolhoda A. Ashikyan O. Milliken J.C. Narula J. Gurudevan S.V. Kaushal K. Raney A. Arterial supply to sinuatrial and atrioventricular nodes: imaging with multidetector CT. Radiology 2008 246 1 99 107 10.1148/radiol.2461070030 18024438
    [Google Scholar]
  12. Vikse J. Henry B.M. Roy J. Ramakrishnan P.K. Hsieh W.C. Walocha J.A. Tomaszewski K.A. Anatomical Variations in the Sinoatrial Nodal Artery: A Meta-Analysis and Clinical Considerations. PLoS One 2016 11 2 e0148331 10.1371/journal.pone.0148331 26849441
    [Google Scholar]
  13. van Campenhout M.J.H. Yaksh A. Kik C. de Jaegere P.P. Ho S.Y. Allessie M.A. de Groot N.M.S. Bachmann’s Bundle. Circ. Arrhythm. Electrophysiol. 2013 6 5 1041 1046 10.1161/CIRCEP.113.000758 24129206
    [Google Scholar]
  14. Smith A. Arnold R. Wilkinson J.L. Hamilton D.I. McKay R. Anderson R.H. An anatomical study of the patterns of the coronary arteries and sinus nodal artery in complete transposition. Int. J. Cardiol. 1986 12 3 295 304 10.1016/0167‑5273(86)90265‑2 3759267
    [Google Scholar]
  15. Rossi M.B. Yen Ho S. Anderson R.H. Filho R.I.R. Lincoln C. Coronary arteries in complete transposition: the significance of the sinus node artery. Ann. Thorac. Surg. 1986 42 5 573 577 10.1016/S0003‑4975(10)60587‑5 3778008
    [Google Scholar]
  16. Saremi F. Channual S. Abolhoda A. Gurudevan S.V. Narula J. Milliken J.C. MDCT of the S-shaped sinoatrial node artery. AJR Am. J. Roentgenol. 2008 190 6 1569 1575 10.2214/AJR.07.3127 18492908
    [Google Scholar]
  17. Duncan B.W. Sinus Venosus Atrial Septal Defect: Repair with an Intra-Superior Vena Cava Baffle. Oper. Tech. Thorac. Cardiovasc. Surg. 2006 11 1 33 44 10.1053/j.optechstcvs.2006.02.003
    [Google Scholar]
  18. Berdajs D. Patonay L. Turina M.I. The clinical anatomy of the sinus node artery. Ann. Thorac. Surg. 2003 76 3 732 735 10.1016/S0003‑4975(03)00660‑X 12963186
    [Google Scholar]
  19. Danton M.H.D. Kesieme E.B. Modification of the Warden Procedure for Surgical Repair of Partial Anomalous Pulmonary Venous Connection. World J. Pediatr. Congenit. Heart Surg. 2023 14 4 497 499 10.1177/21501351231168830 37186786
    [Google Scholar]
  20. Yong M.S. Griffiths S. Robertson T. Brink J. d’Udekem Y. Brizard C. Konstantinov I.E. Outcomes of the Warden procedure for partial anomalous pulmonary venous drainage in children. Interact. Cardiovasc. Thorac. Surg. 2018 27 3 422 426 10.1093/icvts/ivy097 29584855
    [Google Scholar]
  21. Pejković B. Krajnc I. Anderhuber F. Košutić D. Anatomical aspects of the arterial blood supply to the sinoatrial and atrioventricular nodes of the human heart. J. Int. Med. Res. 2008 36 4 691 698 10.1177/147323000803600410 18652764
    [Google Scholar]
  22. Kuniewicz M. Ostrowski P. Bonczar M. Kwiecińska M. Możdżeń K. Murawska A. Dziedzic M. Żytkowski A. Goncerz G. Walocha J. Koziej M. The anatomy of the atrioventricular nodal artery: A meta‐analysis with implications for cardiothoracic surgery and ablation procedures. Clin. Anat. 2023 36 6 951 957 10.1002/ca.24072 37245092
    [Google Scholar]
  23. Lin J-L. Huang S.K. Lai L.P. Lin L.J. Chen J.H. Tseng Y.Z. Lien W.P. Distal end of the atrioventricular nodal artery predicts the risk of atrioventricular block during slow pathway catheter ablation of atrioventricular nodal re-entrant tachycardia. Br. Heart J. 2000 83 5 543 550 10.1136/heart.83.5.543 10768904
    [Google Scholar]
  24. Berdajs D. Künzli A. Shurr U. Zünd G. Turina M.I. Genonni M. Clinical anatomy of the atrioventricular node artery. J. Heart Valve Dis. 2006 15 2 225 229 16607905
    [Google Scholar]
  25. Reemtsma K. Longenecker C.G. Creech O. Jr Surgical Anatomy of the Coronary Artery Distribution in Congenital Heart Disease. Circulation 1961 24 4 782 787 10.1161/01.CIR.24.4.782
    [Google Scholar]
  26. Rotman M. Ratliff N.B. Hawley J. Right ventricular infarction: a haemodynamic diagnosis. Heart 1974 36 9 941 944 10.1136/hrt.36.9.941 4425610
    [Google Scholar]
  27. Shah P.J. Gordon I. Fuller J. Seevanayagam S. Rosalion A. Tatoulis J. Raman J.S. Buxton B.F. Factors affecting saphenous vein graft patency: clinical and angiographic study in 1402 symptomatic patients operated on between 1977 and 1999. J. Thorac. Cardiovasc. Surg. 2003 126 6 1972 1977 10.1016/S0022‑5223(03)01276‑5 14688715
    [Google Scholar]
  28. Arslantaş U. Kalkan M.E. Acar R.D. Pala S. İzgi İ.A. The right Marginal Vessel Bypass Emerging After Right Coronary Artery Stenting. Int. J. Cardiol. 2016 203 791 10.1016/j.ijcard.2015.10.189 26595785
    [Google Scholar]
  29. Bolorunduro O. Khouzam R.N. Dishmon D. Resolution of complete heart block after revascularization of acute marginal branch of the right coronary artery. Turk Kardiyol. Dern. Ars. 2014 42 7 667 670 10.5543/tkda.2014.91074 25490304
    [Google Scholar]
  30. Narh J.T. Choudhary K.V. Okunade A. Lnu K. Puskoor A. Chowdhury Y. Cavusoglu E. Kugel’s Artery: Silent Bystander or Savior? Cureus 2021 13 8 e17039 10.7759/cureus.17039 34522517
    [Google Scholar]
  31. Nerantzis C.E. Marianou S.K. Koulouris S.N. Agapitos E.B. Papaioannou J.A. Vlahos L.J. Kugel’s artery: an anatomical and angiographic study using a new technique. Tex. Heart Inst. J. 2004 31 3 267 270 15562847
    [Google Scholar]
  32. Smith C. Amplatz K. Angiographic demonstration of Kugel’s artery (arteria anastomotica auricularis magna). Radiology 1973 106 1 113 118 10.1148/106.1.113 4682707
    [Google Scholar]
  33. Díez-Villanueva P. Gutiérrez-Ibañes E. Cuerpo-Caballero G.P. Sanz-Ruiz R. Abeytua M. Soriano J. Sarnago F. Elízaga J. González-Pinto A. Fernández-Avilés F. Direct injury to right coronary artery in patients undergoing tricuspid annuloplasty. Ann. Thorac. Surg. 2014 97 4 1300 1305 10.1016/j.athoracsur.2013.12.021 24529484
    [Google Scholar]
  34. Varghese R. Akujuo A. Adams D.H. Right coronary artery injury after tricuspid valve repair. Semin. Thorac. Cardiovasc. Surg. 2010 22 2 189 190 10.1053/j.semtcvs.2010.09.004 21092900
    [Google Scholar]
  35. Bennani F. Sebestyen A. Grimont P. Ghaffar N. Cavallo D. Nocenti M. Tardy N. Chessel E. Chaffanjon P. Chavanon O. Relationships between coronary arteries and atrioventricular annuli: surgical and percutaneous implications. Gen. Thorac. Cardiovasc. Surg. 2022 70 2 132 138 10.1007/s11748‑021‑01680‑8 34264450
    [Google Scholar]
  36. Poon S.S. George J. Obaid D. Kumar P. Myocardial infarction and ventricular fibrillation due to iatrogenic right coronary artery occlusion following tricuspid valve annuloplasty: a case report. Eur. Heart J. Case Rep. 2020 4 6 1 4 10.1093/ehjcr/ytaa328 33442598
    [Google Scholar]
  37. Hardy C.A. Kulchetscki R.M. Chokr M.O. Pisani C.F. Pinto Vandoni P.M. Scanavacca M.I. Right coronary artery occlusion after radiofrequency catheter ablation of a posteroseptal accessory pathway: Lessons to avoid it. HeartRhythm Case Rep. 2022 8 2 122 127 10.1016/j.hrcr.2021.11.017 35242552
    [Google Scholar]
  38. Caldwell J.C. Fath-Odoubadi F. Garratt C.J. Right coronary artery damage during cavotricuspid isthmus ablation. Pacing Clin. Electrophysiol. 2010 33 12 e110 e113 10.1111/j.1540‑8159.2010.02731.x 20345628
    [Google Scholar]
  39. Al Aloul B. Sigurdsson G. Can I. Li J.M. Dykoski R. Tholakanahalli V.N. Proximity of right coronary artery to cavotricuspid isthmus as determined by computed tomography. Pacing Clin. Electrophysiol. 2010 33 11 1319 1323 10.1111/j.1540‑8159.2010.02844.x 20663073
    [Google Scholar]
  40. Pothineni N.V. Kancharla K. Katoor A.J. Shanta G. Paydak H. Kapa S. Deshmukh A. Coronary artery injury related to catheter ablation of cardiac arrhythmias: A systematic review. J. Cardiovasc. Electrophysiol. 2019 30 1 92 101 10.1111/jce.13764 30288838
    [Google Scholar]
  41. Dearani J.A. Ebstein repair: How I do it. JTCVS Tech. 2020 3 269 276 10.1016/j.xjtc.2020.05.033 34317896
    [Google Scholar]
  42. Aksut M. Koksal C. Kocamaz O. Aksoy E. Kara I. Onk A. Ozkaynak B. Should right coronary bypass grafts be anastomosed proximal or distal to the crux? A comparison of graft patencies. Ann. Thorac. Cardiovasc. Surg. 2012 18 4 331 337 10.5761/atcs.oa.11.01783 22673608
    [Google Scholar]
  43. Cherian P.S. Clarke A.J.B. Burstow D.J. Unusual case of acute posteromedial papillary muscle rupture after acute anterior myocardial infarction. Heart Lung Circ. 2014 23 1 e16 e19 10.1016/j.hlc.2013.07.005 23948290
    [Google Scholar]
  44. Stefanovski D. Walfisch A. Kedev S. Tager S. Isolated right coronary lesion and anterolateral papillary muscle rupture - case report and review of the literature. J. Cardiothorac. Surg. 2012 7 1 75 10.1186/1749‑8090‑7‑75 22898299
    [Google Scholar]
  45. Dodge-Khatami A. Mavroudis C. Backer C.L. Congenital heart surgery nomenclature and database project: Anomalies of the coronary arteries. Ann. Thorac. Surg. 2000 69 3 Suppl. 270 297 10.1016/S0003‑4975(99)01248‑5 10798435
    [Google Scholar]
  46. Greet B. Quinones A. Srichai M. Bangalore S. Roswell R.O. Anomalous right coronary artery and sudden cardiac death. Circ. Arrhythm. Electrophysiol. 2012 5 6 e111 e112 10.1161/CIRCEP.112.978635 23250555
    [Google Scholar]
  47. Shaban M. Budhathoki P. Bhatt T. Lee S. Urena Neme A.P. Rodriguez Guerra M.A. Zaw M. Anomalous Origin of the Right Coronary Artery: An Uncommon Presentation. Cureus 2022 14 5 e25494 10.7759/cureus.25494 35783874
    [Google Scholar]
  48. Barbiero G. Maiolino G. Argiolas A. Testolin L. Conti G.D. Intra-atrial course of right coronary artery: A case report. World J. Cardiol. 2022 14 9 514 521 10.4330/wjc.v14.i9.514 36187427
    [Google Scholar]
  49. Marrone G. Crino F. Mamone G. Gentile G. Caruso S. Intracavitary right coronary artery. Eur. Heart J. Cardiovasc. Imaging 2020 21 8 935 10.1093/ehjci/jeaa049 32285098
    [Google Scholar]
  50. Nagulakonda S. Pandey N.N. Kumar S. Mishra S. Shepherd’s crook configuration of an early preventricular branch of right coronary artery. BMJ Case Rep. 2021 14 9 e246312 10.1136/bcr‑2021‑246312 34489260
    [Google Scholar]
  51. Chien T.M. Chen C.W. Chen H.M. Lee C.S. Lin C.C. Chen Y.F. Double right coronary artery and its clinical implications. Cardiol. Young 2014 24 1 5 12 10.1017/S1047951113000176 23458190
    [Google Scholar]
  52. Gentile F. Castiglione V. De Caterina R. Coronary Artery Anomalies. Circulation 2021 144 12 983 996 10.1161/CIRCULATIONAHA.121.055347 34543069
    [Google Scholar]
  53. Palomo A.R. Schrager B.R. Chahine R.A. Anomalous origin of the right coronary artery from the ascending aorta high above the left posterior sinus of Valsalva of a bicuspid aortic valve. Am. Heart J. 1985 109 4 902 904 10.1016/0002‑8703(85)90657‑X 3984843
    [Google Scholar]
  54. Loukas M. Andall R.G. Khan A.Z. Patel K. Muresian H. Spicer D.E. Tubbs R.S. The clinical anatomy of high take‐off coronary arteries. Clin. Anat. 2016 29 3 408 419 10.1002/ca.22664 26518608
    [Google Scholar]
  55. Singh D. Darbari A. Sharma M.K. Parikh N. Anomalous high origin of right coronary artery above the sinotubular junction: rarely diagnosed anomaly. BMJ Case Rep. 2010 2010 nov04 1 bcr1220092537 10.1136/bcr.12.2009.2537 22791862
    [Google Scholar]
  56. Burzotta F. Lassen J.F. Banning A.P. Lefèvre T. Hildick-Smith D. Chieffo A. Darremont O. Pan M. Chatzizisis Y.S. Albiero R. Louvard Y. Stankovic G. Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club. EuroIntervention 2018 14 1 112 120 10.4244/EIJ‑D‑18‑00357 29786539
    [Google Scholar]
  57. Oviedo C. Maehara A. Mintz G.S. Araki H. Choi S.Y. Tsujita K. Kubo T. Doi H. Templin B. Lansky A.J. Dangas G. Leon M.B. Mehran R. Tahk S.J. Stone G.W. Ochiai M. Moses J.W. Intravascular ultrasound classification of plaque distribution in left main coronary artery bifurcations: where is the plaque really located? Circ. Cardiovasc. Interv. 2010 3 2 105 112 10.1161/CIRCINTERVENTIONS.109.906016 20197513
    [Google Scholar]
  58. Medrano-Gracia P. Ormiston J. Webster M. Beier S. Young A. Ellis C. Wang C. Smedby Ö. Cowan B. A computational atlas of normal coronary artery anatomy. EuroIntervention 2016 12 7 845 854 10.4244/EIJV12I7A139 27639736
    [Google Scholar]
  59. Farinha J.B. Kaplan M.A. Harris C.N. Dunne E.F. Carlish R.A. Kay J.H. Brooks S. Disease of the left main coronary artery. Am. J. Cardiol. 1978 42 1 124 128 10.1016/0002‑9149(78)90996‑7 307907
    [Google Scholar]
  60. Bergelson B.A. Tommaso C.L. Left main coronary artery disease: Assessment, diagnosis, and therapy. Am. Heart J. 1995 129 2 350 359 10.1016/0002‑8703(95)90018‑7 7832109
    [Google Scholar]
  61. Erasmi A.W. Misfeld M. Sievers H.H. Warning hint of a hidden early left main stem bifurcation during antegrade cardioplegia. Ann. Thorac. Surg. 2003 76 4 1317 1318 10.1016/S0003‑4975(03)00451‑X 14530046
    [Google Scholar]
  62. Kondo N. Hirose N. Kihara K. Tashiro M. Miyashita K. Orihashi K. Intraoperative Transesophageal Echocardiography for Coronary Artery Assessment. Circ. Rep. 2020 2 9 517 525 10.1253/circrep.CR‑20‑0063 33693277
    [Google Scholar]
  63. Johnson A.D. Detwiler J.H. Higgins C.B. Left coronary artery anatomy in patients with bicuspid aortic valves. Heart 1978 40 5 489 493 10.1136/hrt.40.5.489 656213
    [Google Scholar]
  64. Comanici M. Raja S.G. Iatrogenic coronary artery injuries during non-coronary artery adult cardiac surgery. AME Med. J. 2023 8 12 10.21037/amj‑22‑106
    [Google Scholar]
  65. Ziakas A.G. Economou F.I. Charokopos N.A. Pitsis A.A. Parharidou D.G. Papadopoulos T.I. Parharidis G.E. Coronary ostial stenosis after aortic valve replacement: successful treatment of 2 patients with drug-eluting stents. Tex. Heart Inst. J. 2010 37 4 465 468 20844624
    [Google Scholar]
  66. Ojha V. Pandey N.N. Kumar S. Ramakrishnan S. Jagia P. Anomalous origin of left main coronary artery from pulmonary artery: Patient characteristics and imaging associations on multidetector computed tomography angiography. J. Card. Surg. 2021 36 11 4043 4053 10.1111/jocs.15926 34414605
    [Google Scholar]
  67. Jinmei Z. Yunfei L. Yue W. Yongjun Q. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) diagnosed in children and adolescents. J. Cardiothorac. Surg. 2020 15 1 90 10.1186/s13019‑020‑01116‑z 32398101
    [Google Scholar]
  68. Peña E. Nguyen E.T. Merchant N. Dennie C. ALCAPA syndrome: not just a pediatric disease. Radiographics 2009 29 2 553 565 10.1148/rg.292085059 19325065
    [Google Scholar]
  69. Hauser M. Congenital anomalies of the coronary arteries. Heart 2005 91 9 1240 1245 10.1136/hrt.2004.057299 16103577
    [Google Scholar]
  70. Cheitlin M.D. De Castro C.M. McAllister H.A. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation 1974 50 4 780 787 10.1161/01.CIR.50.4.780 4419670
    [Google Scholar]
  71. Heo W. Min H. Kang D.K. Jun H.J. Hwang Y.H. Jeon J.H. Lee J.Y. The “high take-off” left main coronary artery in a patient with acute type A aortic dissection. Circulation 2014 130 12 e102 e103 10.1161/CIRCULATIONAHA.113.008395 25223775
    [Google Scholar]
  72. Saremi F. Abolhoda A. Abuin G. Coronary anatomy for surgeons. Revisiting cardiac anatomy: a computed-tomography-based atlas and reference. Saremi F. Arbustini E. Achenbach S. Narula J. Hoboken, NJ Wiley-Blackwell 2010 179 199 10.1002/9781444323191.ch10
    [Google Scholar]
  73. Lenox C.C. Debich D.E. Zuberbuhler J.R. The role of coronary artery abnormalities in the prognosis of truncus arteriosus. J. Thorac. Cardiovasc. Surg. 1992 104 6 1728 1742 10.1016/S0022‑5223(19)33907‑8 1453739
    [Google Scholar]
  74. Loukas M. Sharma A. Blaak C. Sorenson E. Mian A. The clinical anatomy of the coronary arteries. J. Cardiovasc. Transl. Res. 2013 6 2 197 207 10.1007/s12265‑013‑9452‑5 23423864
    [Google Scholar]
  75. von Lüdinghausen M. The clinical anatomy of coronary arteries. Adv. Anat. Embryol. Cell Biol. 2003 167 III VIII, 1-111 10.1007/978‑3‑642‑55807‑8 12557422
    [Google Scholar]
  76. Bhatia V. Arora P. Gupta A. Bhandari S. Kaul U. “The moustache sign”: A common morphological characteristic in cardiovascular disease treatment. Heart Research – Open Journal 2019 6 1 1 3 10.17140/HROJ‑6‑148
    [Google Scholar]
  77. STS adult cardiac surgery database training manual, v2.73. Available from:https://www.sts.org/sites/default/files/documents/CoronaryAnatomy.pdf(accessed on 8-10-2024)
  78. Kim S.D. Anatomy of the septal perforating arteries of the heart. Anat. Cell Biol. 2019 52 3 236 241 10.5115/acb.18.175 31598351
    [Google Scholar]
  79. Muresian H. The clinical anatomy of the coronary arteries: an anatomical study on 100 human heart specimens. Bucharest Editura Enciclopedica 2009 113 114
    [Google Scholar]
  80. Williams E.E. El-Hamamsy I. The Ross Procedure. Oper. Tech. Thorac. Cardiovasc. Surg. 2021 26 2 189 209 10.1053/j.optechstcvs.2020.12.004
    [Google Scholar]
  81. Said S.M. The Ross-Konno procedure for congenital aortic stenosis. Ann. Cardiothorac. Surg. 2021 10 4 527 537 10.21037/acs‑2021‑rp‑31 34422569
    [Google Scholar]
  82. Pillai R.V. Daniel R. Joseph D.J. Complete heart block following occlusion of the first septal perforator after coronary stenting. Indian Heart J. 2005 57 6 728 730 16521649
    [Google Scholar]
  83. Spirito P. Rossi J. Maron B.J. Alcohol septal ablation: in which patients and why? Ann. Cardiothorac. Surg. 2017 6 4 369 375 10.21037/acs.2017.05.09 28944178
    [Google Scholar]
  84. Levin D.C. Pathways and functional significance of the coronary collateral circulation. Circulation 1974 50 4 831 837 10.1161/01.CIR.50.4.831 4425386
    [Google Scholar]
  85. Loukas M. Bilinsky S. Bilinsky E. Petru M. Anderson R.H. The clinical anatomy of the coronary collateral circulation. Clin. Anat. 2009 22 1 146 160 10.1002/ca.20743 19097064
    [Google Scholar]
  86. James T.N. Coronary circulation in acute myocardial infarction. Cardiovasc Res. 1971 115 7 1143 1155 10.1136/hrt.33.Suppl.138
    [Google Scholar]
  87. Sternheim D. Power D.A. Samtani R. Kini A. Fuster V. Sharma S. Myocardial Bridging: Diagnosis, Functional Assessment, and Management. J. Am. Coll. Cardiol. 2021 78 22 2196 2212 10.1016/j.jacc.2021.09.859 34823663
    [Google Scholar]
  88. Rajendran R. Hegde M. The prevalence of myocardial bridging on multidetector computed tomography and its relation to coronary plaques. Pol. J. Radiol. 2019 84 478 483 10.5114/pjr.2019.90370 32082443
    [Google Scholar]
  89. Bourassa M.G. Butnaru A. Lespérance J. Tardif J.C. Symptomatic myocardial bridges: overview of ischemic mechanisms and current diagnostic and treatment strategies. J. Am. Coll. Cardiol. 2003 41 3 351 359 10.1016/S0735‑1097(02)02768‑7 12575960
    [Google Scholar]
  90. Sylvia M.T. Soundharia R. Bhat R.V. Marak F. Myocardial Bridging in Cases of Sudden Death and its Association with Clinicopathologic Characteristics. Heart Views 2023 24 1 6 10 10.4103/heartviews.heartviews_79_22 37124430
    [Google Scholar]
  91. Lee M.S. Chen C.H. Myocardial bridging: An up-to-date review. J. Invasive Cardiol. 2015 27 11 521 528 25999138
    [Google Scholar]
  92. Santucci A. Jacoangeli F. Cavallini S. d’Ammando M. de Angelis F. Cavallini C. The myocardial bridge: incidence, diagnosis, and prognosis of a pathology of uncertain clinical significance. Eur. Heart J. Suppl. 2022 24 Suppl. I I61 I67 10.1093/eurheartjsupp/suac075 36380808
    [Google Scholar]
  93. Jones B.M. Kapadia S.R. Smedira N.G. Robich M. Tuzcu E.M. Menon V. Krishnaswamy A. Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. Eur. Heart J. 2014 35 31 2060 2068 10.1093/eurheartj/ehu248 24970335
    [Google Scholar]
  94. Goyal A. Menon V. Contemporary management of post-MI ventricular septal rupture. Available from:https://www.acc.org/latest-in-cardiology/articles/2018/07/30/06/58/contemporary-management-of-post-mi-ventricular-septal-rupture(accessed on 8-10-2024)
  95. Hamilton M.C.K. Rodrigues J.C.L. Martin R.P. Manghat N.E. Turner M.S. The In Vivo Morphology of Post-Infarct Ventricular Septal Defect and the Implications for Closure. JACC Cardiovasc. Interv. 2017 10 12 1233 1243 10.1016/j.jcin.2017.03.042 28641844
    [Google Scholar]
  96. Sajja L.R. A narrative review of redo coronary artery bypass grafting. AME Med. J. 2021 6 20 10.21037/amj‑20‑50
    [Google Scholar]
  97. Nishi H. Mitsuno M. Yamamura M. Tanaka H. Ryomoto M. Fukui S. Yoshioka Y. Takanashi S. Miyamoto Y. Safe approach for redo coronary artery bypass grafting--preventing injury to the patent graft to the left anterior descending artery. Ann. Thorac. Cardiovasc. Surg. 2010 16 4 253 258 21057442
    [Google Scholar]
  98. Villa A.D.M. Sammut E. Nair A. Rajani R. Bonamini R. Chiribiri A. Coronary artery anomalies overview: The normal and the abnormal. World J. Radiol. 2016 8 6 537 555 10.4329/wjr.v8.i6.537 27358682
    [Google Scholar]
  99. Baitaxe H.A. Wixson D. The incidence of congenital anomalies of the coronary arteries in the adult population. Radiology 1977 122 1 47 52 10.1148/122.1.47 830353
    [Google Scholar]
  100. Kastellanos S. Aznaouridis K. Vlachopoulos C. Tsiamis E. Oikonomou E. Tousoulis D. Overview of coronary artery variants, aberrations and anomalies. World J. Cardiol. 2018 10 10 127 140 10.4330/wjc.v10.i10.127 30386490
    [Google Scholar]
  101. Yamanaka O. Hobbs R.E. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet. Cardiovasc. Diagn. 1990 21 1 28 40 10.1002/ccd.1810210110 2208265
    [Google Scholar]
  102. Stark A.W. Gräni C. Percutaneous Coronary Intervention in Anomalous Right Coronary Artery: Ready to Implement in Clinical Routine? Interv. Cardiol. 2022 17 e15 10.15420/icr.2022.17 36644624
    [Google Scholar]
  103. Darki A. Motiwala A. Bakhos L. Lewis B.E. Lopez J.J. Steen L.H. Jr Mathew V. Leya F.S. Technical success and long‐term outcomes after anomalous right coronary artery stenting with cardiac computed tomography angiography correlation. Catheter. Cardiovasc. Interv. 2020 96 2 320 327 10.1002/ccd.28453 31430026
    [Google Scholar]
  104. Aubry P. Halna du Fretay X. Boudvillain O. Degrell P. ANOCOR Working Group Place of Angioplasty for Coronary Artery Anomalies With Interarterial Course. Front. Cardiovasc. Med. 2021 7 596018 10.3389/fcvm.2020.596018 33614737
    [Google Scholar]
  105. Angelini P. Uribe C. Monge J. Tobis J.M. Elayda M.A. Willerson J.T. Origin of the right coronary artery from the opposite sinus of Valsalva in adults: Characterization by intravascular ultrasonography at baseline and after stent angioplasty. Catheter. Cardiovasc. Interv. 2015 86 2 199 208 10.1002/ccd.26069 26178792
    [Google Scholar]
  106. Gishto T. Simoni L. Shuka N. Dragoshi A. Goda A. Percutaneous Coronary Intervention in a Patient Presenting With Inferior Myocardial Infarction and an Anomalous Left Main Artery Originating From the Right Coronary Sinus. Cureus 2024 16 2 e54568 10.7759/cureus.54568 38516465
    [Google Scholar]
  107. Need L.R. Powell A.J. del Nido P. Geva T. Coronary echocardiography in tetralogy of Fallot: diagnostic accuracy, resource utilization and surgical implications over 13 years. J. Am. Coll. Cardiol. 2000 36 4 1371 1377 10.1016/S0735‑1097(00)00862‑7 11028497
    [Google Scholar]
  108. Humes R.A. Driscoll D.J. Danielson G.K. Puga F.J. Tetralogy of Fallot with anomalous origin of left anterior descending coronary artery. J. Thorac. Cardiovasc. Surg. 1987 94 5 784 787 10.1016/S0022‑5223(19)36195‑1 3669705
    [Google Scholar]
  109. Lowry A.W. Olabiyi O.O. Adachi I. Moodie D.S. Knudson J.D. Coronary artery anatomy in congenital heart disease. Congenit. Heart Dis. 2013 8 3 187 202 10.1111/chd.12067 23601059
    [Google Scholar]
  110. Mavroudis C. Dearani J.A. Tetralogy of Fallot. Atlas of Adult Congenital Heart Surgery. Mavroudis C. Dearani J. Cham Springer 2020 10.1007/978‑3‑030‑14163‑9_8
    [Google Scholar]
  111. Koppel C.J. Jongbloed M.R.M. Kiès P. Hazekamp M.G. Mertens B.J.A. Schalij M.J. Vliegen H.W. Coronary anomalies in tetralogy of Fallot – A meta-analysis. Int. J. Cardiol. 2020 306 78 85 10.1016/j.ijcard.2020.02.037 32156463
    [Google Scholar]
  112. Kervancioglu M. Tokel K. Varan B. Yildirim S.V. Frequency, origins and courses of anomalous coronary arteries in 607 Turkish children with tetralogy of Fallot. Cardiol. J. 2011 19 5 546 551 10.5603/CJ.2011.0011 21947991
    [Google Scholar]
  113. Spindola-Franco H. Grose R. Solomon N. Dual left anterior descending coronary artery: Angiographic description of important variants and surgical implications. Am. Heart J. 1983 105 3 445 455 10.1016/0002‑8703(83)90363‑0 6829406
    [Google Scholar]
  114. Jariwala P. Jadhav K. Dual left anterior descending artery: Case series based on novel classification and its therapeutic implications. Indian Heart J. 2022 74 3 218 228 10.1016/j.ihj.2022.04.002 35427630
    [Google Scholar]
  115. Jariwala P. Jadhav K.P. Koduganti S. Dual left anterior descending artery: diagnostic criteria and novel classification. Indian J. Thorac. Cardiovasc. Surg. 2021 37 3 285 294 10.1007/s12055‑020‑01102‑z 33967416
    [Google Scholar]
  116. Sidhu N.S. Wander G.S. Prevalence and characteristics of dual left anterior descending artery in adult patients undergoing coronary angiography. Future Cardiol. 2019 15 6 425 435 10.2217/fca‑2019‑0052 31580149
    [Google Scholar]
  117. Kareem H. Devasia T. Prasad R. M U.P. Dual left anterior descending artery circulation: a rare anomaly of the coronary arteries. BMJ Case Rep. 2014 2014 bcr2014205053 10.1136/bcr‑2014‑205053 24825583
    [Google Scholar]
  118. Baskan O. Erol C. Paksoy Y. Dual (type IV) left anterior descending artery. SA J. Radiol. 2013 17 4 145 146 10.7196/sajr.959
    [Google Scholar]
  119. Sajja L.R. Farooqi A. Shaik M.S. Yarlagadda R.B. Baruah D.K. Pothineni R.B. Dual left anterior descending coronary artery: surgical revascularization in 4 patients. Tex. Heart Inst. J. 2000 27 3 292 296 11093416
    [Google Scholar]
  120. Udupa A. Goyal B.K. Pagad S. Hyperdominant left anterior descending artery (LAD): A rare coronary anomaly. Indian Heart J. 2016 68 S2 S151 S152
    [Google Scholar]
  121. Varga Z. Sharma R. Stys A. Stys T. Extremely Hyperdominant LAD Supplying the Anterior, Inferior, and Lateral Walls of the Left Ventricle. Methodist DeBakey Cardiovasc. J. 2020 16 4 1 10.14797/mdcj‑16‑4‑e1 33500768
    [Google Scholar]
  122. Reddy G. Davies J.E. Holmes D.R. Schaff H.V. Singh S.P. Alli O.O. Coronary artery fistulae. Circ. Cardiovasc. Interv. 2015 8 11 e003062 10.1161/CIRCINTERVENTIONS.115.003062 26510560
    [Google Scholar]
  123. Qureshi S.A. Coronary arterial fistulas. Orphanet J. Rare Dis. 2006 1 1 51 10.1186/1750‑1172‑1‑51 17184545
    [Google Scholar]
  124. Tripp H.F. Selle J.G. Revascularization of the proximal circumflex coronary artery. Ann. Thorac. Surg. 1996 62 5 1539 1540 10.1016/0003‑4975(96)00758‑8 8893609
    [Google Scholar]
  125. Pellegrini R.V. Marcelli G. Bekoe S. DiMarco R.F. Jr Marrangoni A.G. Revascularization of the circumflex coronary artery in the atrioventricular groove. Ann. Thorac. Surg. 1984 37 5 379 381 10.1016/S0003‑4975(10)60758‑8 6712342
    [Google Scholar]
  126. Bargagna M. Trumello C. Sala A. Blasio A. Castiglioni A. Alfieri O. De Bonis M. Left Circumflex Artery Injury After Mitral Valve Surgery: An Algorithm Management Proposal. Ann. Thorac. Surg. 2021 111 3 899 904 10.1016/j.athoracsur.2020.05.160 32745514
    [Google Scholar]
  127. Husain A. Alsanei A. Tahir M. Dahdouh Z. AlHalees Z. AlMasood A. Left circumflex artery injury postmitral valve surgery, single center experience. J. Saudi Heart Assoc. 2019 31 2 94 99 10.1016/j.jsha.2018.12.003 30766003
    [Google Scholar]
  128. Cornu E. Lacroix P.H. Christides C. Laskar M. Coronary artery damage during mitral valve replacement. J. Cardiovasc. Surg. (Torino) 1995 36 3 261 264 7629211
    [Google Scholar]
  129. Kaklikkaya I. Yeginoglu G. Damage to coronary arteries during mitral valve surgery. Heart Surg. Forum 2003 6 6 E138 E142 14722000
    [Google Scholar]
  130. Virmani R. Chun P.K.C. Colonel L. Parker J. Colonel L. McAllister H.A. Jr Suture obliteration of the circumflex coronary artery in three patients undergoing mitral valve operation. J. Thorac. Cardiovasc. Surg. 1982 84 5 773 778 10.1016/S0022‑5223(19)38969‑X 7132417
    [Google Scholar]
  131. Grande A.M. Fiore A. Massetti M. Viganò M. Iatrogenic circumflex coronary lesion in mitral valve surgery: case report and review of the literature. Tex. Heart Inst. J. 2008 35 2 179 183 18612492
    [Google Scholar]
  132. Hiltrop N. Bennett J. Desmet W. Circumflex coronary artery injury after mitral valve surgery: A report of four cases and comprehensive review of the literature. Catheter. Cardiovasc. Interv. 2017 89 1 78 92 10.1002/ccd.26449 26892943
    [Google Scholar]
  133. Kuzmin B. Staack T. Wippermann J. Wacker M. Left atrial appendage occlusion device causing coronary obstruction: A word of caution. J. Card. Surg. 2021 36 2 723 725 10.1111/jocs.15222 33331003
    [Google Scholar]
  134. Chaldoupi S.M. Heuts S. Vainer J. Maesen B. Surgical Options to Tackle Coronary Artery Kinking in Thoracoscopic Left Atrial Appendage Clipping. Ann. Thorac. Surg. 2020 110 2 e119 e121 10.1016/j.athoracsur.2019.12.039 32032571
    [Google Scholar]
  135. Uchida S. Takekawa D. Kato K. Hirota K. RETRACTED ARTICLE: Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report. JA Clin. Rep. 2023 9 1 42 10.1186/s40981‑023‑00634‑8 37438473
    [Google Scholar]
  136. Hongsakul K. Suwannanon R. Congenital absence of left circumflex artery detected by computed tomography coronary angiography: a case report. Case Rep. Vasc. Med. 2012 2012 1 3 10.1155/2012/204657 22934230
    [Google Scholar]
  137. Mohsen G.A. Mohsin K.G. Forsberg M. Miller E. Taniuchi M. Klein A.J. Anomalous left circumflex artery from the right coronary cusp: a benign variant? J. Invasive Cardiol. 2013 25 6 284 287 23735353
    [Google Scholar]
  138. Mori M. Amabile A. Vallabhajosyula P. Intraoperative finding of anomalous circumflex artery origin in the dissected right coronary ostium. Aorta (Stamford) 2022 10 5 263 264 10.1055/s‑0042‑1750412 36539121
    [Google Scholar]
  139. Bhattad P.B. Ramsaran E. Anomalous origin of the left circumflex coronary artery: Approach in acute coronary syndrome. Cureus 2022 14 9 e29330 10.7759/cureus.29330 36277548
    [Google Scholar]
  140. Angelini P. Trujillo A. Sawaya F. Lee V.V. “Acute takeoff” of the circumflex artery: a newly recognized coronary anatomic variant with potential clinical consequences. Tex. Heart Inst. J. 2008 35 1 28 31 18427647
    [Google Scholar]
/content/journals/ccr/10.2174/011573403X321942241023112517
Loading
/content/journals/ccr/10.2174/011573403X321942241023112517
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test