Key result
Coronary artery anomalies are mostly benign variants linked to a ~10% adverse event rate over 36 months.
Why the study?
Certain high-risk coronary artery anomalies predispose patients to ischemia, arrhythmias, or sudden cardiac death, requiring characterization of prevalence, imaging features, management, and outcomes.
Observational (n=133)
No
In adults with coronary artery anomalies, most variants are benign and safely managed medically, while high-risk anatomies like interarterial courses warrant surgical correction to prevent adverse events.
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Supports conservative management for most anomalies on angiography; leaves open prospective validation of risk stratification for malignant variants.
Rajesh Thachathodiyl (2025) conducted an observational in Coronary artery anomalies (n=133). Coronary artery anomalies was evaluated on Adverse events (myocardial infarction, revascularization, or cardiac death). Coronary artery anomalies were identified in 1.6% of patients undergoing angiography, with most cases being benign variants managed conservatively and an overall adverse event rate of 10% over 36 months.
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