Rodríguez Urteaga Zoila I, Murillo Pérez Luis E, Mendoza Paulini Aurelio, Talledo Paredes Luisa S
. Cardiología no invasiva. Instituto Nacional Cardiovascular "Carlos Alberto Peschiera Carrillo" - INCOR. Lima, Perú. Cardiología no invasiva Instituto Nacional Cardiovascular "Carlos Alberto Peschiera Carrillo" - INCOR Lima Perú.
Arch Peru Cardiol Cir Cardiovasc. 2022 Sep 30;3(3):153-161. doi: 10.47487/apcyccv.v3i2.233. eCollection 2022 Jul-Sep.
: To determine the prevalence of coronary anomalies (CA) in patients evaluated by 64-detector computed tomography (CT) at the Instituto Nacional Cardiovascular in Peru between 2016 and 2020.
Retrospective observational study, coronary artery CT scans of 1486 patients were performed on a 64-detector row CT scanner and reviewed in search for coronary anomalies.
The prevalence of CA detected by CT was 4.71% (70 cases) of which 64.3% were male. Abnormalities of origin were the most frequent, of which the origin of a coronary artery from the opposite coronary sinus was the most common (48.6%), with the right coronary being the main anomalous artery (31%), and the main path was interarterial (31%). Anomalous origin of the left main coronary from the pulmonary artery was found in 5 patients. Among the anomalies of the intrinsic coronary arterial anatomy the most frequent was the double left anterior descending artery (10%). Coronary fistulas accounted for 11.4% of cases.
The prevalence of CA detected by 64-detector CT in a Peruvian institute was 4.71%. The most frequent coronary anomaly was the origin of the right coronary artery from the left coronary sinus with interarterial trajectory.
确定2016年至2020年期间在秘鲁国家心血管研究所接受64层计算机断层扫描（CT）评估的患者中冠状动脉异常（CA）的患病率。
回顾性观察研究，对1486例患者进行64层螺旋CT冠状动脉扫描，并进行回顾以寻找冠状动脉异常。
CT检测到的CA患病率为4.71%（70例），其中64.3%为男性。起源异常最为常见，其中冠状动脉起源于对侧冠状窦最为常见（48.6%），右冠状动脉是主要的异常动脉（31%），主要走行是动脉间（31%）。5例患者发现左主干冠状动脉起源于肺动脉。在冠状动脉内在解剖结构异常中，最常见的是双左前降支动脉（10%）。冠状动脉瘘占病例的11.4%。
在秘鲁一家机构中，64层CT检测到的CA患病率为4.71%。最常见的冠状动脉异常是右冠状动脉起源于左冠状窦并走行于动脉间。
