Prevalence of coronary artery anomalies and variants in Jinnah hospital

Aim: to assess the prevalence of variants and anomalies of the coronary artery tree in patients who underwent coronary angiography for suspected or known coronary artery disease method: the diagnostic angiographic reports of the angiograms done in the department of cardiology jinnah hospital lahore in 2011 were reviewed. in those in which a congenital anomaly was diagnosed,the angiography film was studied. results: nine hundred fifty six reports were reviewed describing 26 patients with 26 anomalies with a prevalence of about 2.7% including: anomalous origin of the right coronary artery,coronary artery fistulae,separate origin of anterior descending artery,absent left main,bridging and others. angiographic studies were done because of: angina (65%),dyspnea (25%) and atypical chest pain (10%). adult congenital anomalies of the coronary arteries are not very common and are usually casual findings of diagnostic angiographic studies. ectesia,absent left main and aberrant right coronary artery origin were the most frequently diagnosed in our population.