000 03035cam a2200325 a 4500
003 EG-GiCUC
008 170318s2016 ua h f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.04.M.Sc.2016.Mu.P
100 0 _aMustafa Salem Althalja
245 1 0 _aPrevalence of congenital coronary artery anomalies detected by MSCT coronary angiography /
_cMustafa Salem Althalja ; Supervised Azza Abdelmoniem Farrag , Amr Abdelaziz Elfaramawy , Sameh Mohamed Helmy Elkaffas
246 1 5 _aمعدل انتشار العيوب الخلقية للشرايين التاجية بواسطة الاشعة المقطعية متعددة الشرائح على الشرايين التاجية
260 _aCairo :
_bMustafa Salem Althalja ,
_c2016
300 _a92 P. :
_bfacsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology
520 _aCongenital coronary anomalies are rare and often found incidentally on conventional coronary angiography (CCA) or by other non invasive technique. They may lead to sudden cardiac death. Non invasive coronary angiography is unable to detect all coronary anomalies in details especially those with complex anomalies. Computed tomography coronary angiography is able to demonstrate origin, courses and terminations of these anomalies more accurately. Evaluation of the prevalence and types of coronary artery anomalies in a group of patients referred for computed tomography (CT-CA) and determining the extent of atherosclerotic coronary artery disease among these patients. Angiographic data of 13611 patients undergoing CT- CA from January 2012 to June 2016 were analyzed to determine presence of coronary artery anomalies. Gensini score and calcium score were calculated to detect prevalence of atherosclerotic coronary artery disease. We reviewed 13611 patients scheduled for CT-CA, 127 (0.93%) had coronary anomalies. Mean age was 54.2 ± 10.5. Male gender dominated our patients with congenital coronary artery anomalies and represented 66.9% (85 patients). The most common coronary artery anomaly was origin and course 105 (82.7%) and the most common vessel affected was the RCA 63 (48.5%). Prevalence of double LAD was 8 (6.3%) and fistula was detected in 13 (10.2%). Prevalence of severe coronary artery disease in our patients was 20 % detected by Gensini score. Prevalence of coronary artery anomalies in our study is 0.93%. Prevalence of severe atherosclerotic coronary artery disease in our patients was 20 % detected by Gensini score
530 _aIssued also as CD
653 4 _aCardiology
653 4 _aComputed tomography coronary angiography
653 4 _aCoronary artery anomalies
700 0 _aAmr Abdelaziz Elfaramawy ,
_eSupervisor
700 0 _aAzza Abdelmoniem Farrag ,
_eSupervisor
700 0 _aSameh Mohamed Helmy Elkaffas ,
_eSupervisor
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c60283
_d60283