Cross-sectional study of anomalous coronary artery disease and  interventions, in a real-life large group of contemporary  patients undergoing cardiac procedures

Anomalous coronary arteries with coronary disease can have implications on the prognosis , method of revascularization and pose technical challenges in achieving successful outcomes. The accurate estimates on the prevalence of anomalous coronaries in a contemporary large series patients are not available in Sri Lanka.  The types of such anomalies and the outcome data of index procedures is hitherto not known.

A cross sectional study of 5093 consecutive procedures over 8 years was analyzed across 45 males and 15 females with a mean age of 59 years. This showed a prevalence of anomalous coronaries in 1.51% of the records. Of these, 22 percutaneous coronary interventions involving anomalous coronary arteries were identified. Multiple coronary anomalies were seen in 2 patients. All 22 cases (100%) were completed successfully by PCI without any in hospital MACCE or serious complications, despite some of the procedures requiring additional hardware and maneuvers for successful completion of PCI of the anomalous coronary arteries.