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Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance

DC FieldValueLanguage
dc.contributor.author김희영-
dc.contributor.author홍유진-
dc.contributor.author남지은-
dc.contributor.author이지원-
dc.contributor.author이혜정-
dc.contributor.author장혁재-
dc.contributor.author최규옥-
dc.contributor.author최병욱-
dc.contributor.author김영진-
dc.contributor.author허진-
dc.date.accessioned2014-12-19T17:38:08Z-
dc.date.available2014-12-19T17:38:08Z-
dc.date.issued2012-
dc.identifier.issn0033-8419-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91781-
dc.description.abstractPURPOSE: To classify anomalous origins of the right coronary artery (RCA) from the left coronary sinus (AORL) with an interarterial course into two subtypes and to evaluate the clinical importance of each. MATERIALS AND METHODS: Institutional review board approval was obtained for this retrospective study, and informed consent was waived. Through a retrospective review of 22,925 consecutive cardiac computed tomographic (CT) scans, 124 cases of AORL with an interarterial course were identified. These anomalies were classified into two subtypes according to the location of the anomalous RCA ostium: high interarterial course (between the aorta and the pulmonary artery) and low interarterial course (between the aorta and the right ventricular outflow tract). The clinical records were evaluated, and differences in prevalence of typical angina and major adverse cardiac events (MACEs) between the subtypes were analyzed through the χ(2) contingency tables or Fisher exact test. RESULTS: After excluding patients with combined cardiac disease, 87 patients (51 [59%] men, 36 [41%] women; mean age, 56.0 years) were enrolled. Of the 87 patients, 53 had a high interarterial course and 34 had a low interarterial course. A significant difference in the prevalence of typical angina (high [43%] vs low [6%], P = .001) and MACE (high [28%] vs low [6%], P = .012) was observed between the two subtypes. For patients with a high interarterial course, the odds ratio for typical angina was 12.3 (95% confidence interval: 2.7, 56.6), and the odds ratio for MACE was 6.3 (95% confidence interval: 1.3, 29.7). CONCLUSION: The prevalence of typical angina and that of MACE were significantly higher in patients with a high interarterial course than in those with a low interarterial course.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfRADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAngina, Unstable/diagnostic imaging-
dc.subject.MESHAngina, Unstable/mortality-
dc.subject.MESHBiomarkers/analysis-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHContrast Media-
dc.subject.MESHCoronary Vessel Anomalies/classification-
dc.subject.MESHCoronary Vessel Anomalies/diagnostic imaging*-
dc.subject.MESHCoronary Vessel Anomalies/mortality-
dc.subject.MESHDeath, Sudden, Cardiac/epidemiology-
dc.subject.MESHElectrocardiography-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIopamidol-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/diagnostic imaging-
dc.subject.MESHMyocardial Infarction/mortality-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTomography, X-Ray Computed/methods*-
dc.titleAnomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorHye-Jeong Lee-
dc.contributor.googleauthorYoo Jin Hong-
dc.contributor.googleauthorHee Yeong Kim-
dc.contributor.googleauthorJiwon Lee-
dc.contributor.googleauthorJin Hur-
dc.contributor.googleauthorByoung Wook Choi-
dc.contributor.googleauthorHyuk-Jae Chang-
dc.contributor.googleauthorJi Eun Nam-
dc.contributor.googleauthorKyu Ok Choe-
dc.contributor.googleauthorYoung Jin Kim-
dc.identifier.doi22056684-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01213-
dc.contributor.localIdA04422-
dc.contributor.localIdA01269-
dc.contributor.localIdA03490-
dc.contributor.localIdA04042-
dc.contributor.localIdA04059-
dc.contributor.localIdA04370-
dc.contributor.localIdA03320-
dc.contributor.localIdA00727-
dc.contributor.localIdA03204-
dc.relation.journalcodeJ02596-
dc.identifier.eissn1527-1315-
dc.identifier.pmid22056684-
dc.subject.keywordAdult-
dc.subject.keywordAged-
dc.subject.keywordAged, 80 and over-
dc.subject.keywordAngina, Unstable/diagnostic imaging-
dc.subject.keywordAngina, Unstable/mortality-
dc.subject.keywordBiomarkers/analysis-
dc.subject.keywordChi-Square Distribution-
dc.subject.keywordContrast Media-
dc.subject.keywordCoronary Vessel Anomalies/classification-
dc.subject.keywordCoronary Vessel Anomalies/diagnostic imaging*-
dc.subject.keywordCoronary Vessel Anomalies/mortality-
dc.subject.keywordDeath, Sudden, Cardiac/epidemiology-
dc.subject.keywordElectrocardiography-
dc.subject.keywordFemale-
dc.subject.keywordFollow-Up Studies-
dc.subject.keywordHumans-
dc.subject.keywordIopamidol-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordMyocardial Infarction/diagnostic imaging-
dc.subject.keywordMyocardial Infarction/mortality-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordTomography, X-Ray Computed/methods*-
dc.contributor.alternativeNameKim, Hee Yeong-
dc.contributor.alternativeNameHong, Yoo Jin-
dc.contributor.alternativeNameNam, Ji Eun-
dc.contributor.alternativeNameLee, Ji Won-
dc.contributor.alternativeNameLee, Hye Jeong-
dc.contributor.alternativeNameChang, Hyuck Jae-
dc.contributor.alternativeNameChoe, Kyu Ok-
dc.contributor.alternativeNameChoi, Byoung Wook-
dc.contributor.alternativeNameKim, Young Jin-
dc.contributor.alternativeNameHur, Jin-
dc.contributor.affiliatedAuthorKim, Hee Yeong-
dc.contributor.affiliatedAuthorHong, Yoo Jin-
dc.contributor.affiliatedAuthorNam, Ji Eun-
dc.contributor.affiliatedAuthorChang, Hyuck Jae-
dc.contributor.affiliatedAuthorChoe, Kyu Ok-
dc.contributor.affiliatedAuthorChoi, Byoung Wook-
dc.contributor.affiliatedAuthorHur, Jin-
dc.contributor.affiliatedAuthorLee, Hye Jeong-
dc.contributor.affiliatedAuthorKim, Young Jin-
dc.contributor.affiliatedAuthorLee, Ji Won-
dc.citation.volume262-
dc.citation.number1-
dc.citation.startPage101-
dc.citation.endPage108-
dc.identifier.bibliographicCitationRADIOLOGY, Vol.262(1) : 101-108, 2012-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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