https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2020.135

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 8; Issue 3.2 (August 2020)

Page No.: 7639-7643

DOI: https://dx.doi.org/10.16965/ijar.2020.135

THE RELATION BETWEEN CORONARY DOMINANCE AND MULTIVESSEL INVOLVEMENT

S. Priyadharshini *1, M. Sivakumar 2, Mark Christopher Arokiaraj 3, V.Nagaguhan 4.

*1 Associate Professor, Department of Anatomy, Alluri Sitaramaraju Academy of Medical Sciences, Malakkapuram, Eluru, west Godavari, Andhra Pradesh, India.

2 Professor, Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

3 Professor and HOD, Department of Cardiology, Pondicherry Institute of Medical Sciences, Ganapathichettikulam, Kalapet, India.

4 Assistant professor, Department of Biochemistry, All India Institute of Medical Sciences, Mangalagiri, Guntur, Andhra Pradesh, India.

Corresponding Author: Dr. S.Priyadharshini, Associate Professor, Associate Professor, Department of Anatomy, Alluri Sitaramaraju Academy of Medical Sciences, Malakkapuram, Eluru, west Godavari, Andhra Pradesh, India. E-Mail: guhan_priya@yahoo.in

ABSTRACT

Background: Triple-vessel disease (TVD) is a type of CAD since it involves significant stenosis in any three of the major coronary arteries. Currently, there is not much literatures about the relationship between coronary artery dominance and multivessel disease. Therefore, we conducted this study to investigate the type of dominance and number of vessels involved arteries by coronary angiogram in and around the puducherry population.

Aims and objectives: To study the coronary dominance patterns with co morbid conditions such as the number of vessels involved in each.

Materials and Methods: 200 adult coronary angiogram were studied during angiography.  The Dominance is identified by the origin of posterior interventricular artery. Coronary artery disease is considered significant if the stenosis is >70% in the luminal diameter of anterior interventricular artery, right coronary artery and circumflex artery.

Results: In this study, Single vessel disease was found to be common among all types of dominance being 54.8% in right dominance, 52.2% in left dominance and 59.3% in co dominance. AIVA or LAD was the most commonly affected single vessel irrespective of the type of dominance. (50 to 75%)

Conclusion: Single vessel disease was found to be common in all types of dominance when compared to double vessel or triple vessel diseases. The Anterior Inter ventricular artery was the most common vessel involved in all types of dominance followed by RCA and circumflex artery.

KEY WORDS: Coronary Arterial Disease, Triple Vessel Disease, Coronary Dominance, Coronary Arteries.

REFERENCES

  1. Moore KL, Dalley AF, Agur AMR. (2010) Clinically Oriented Anatomy.6th ed. Baltimore: Wolters Kluwer Lippincott Williams & Wilkins 144-147.
  2. Snell RS. (2008) Clinical Anatomy by Regions 8th ed., Philadelphia: Lipincott Williams and Wilkins : pp 113- 115.
  3. Standring S. Gray’s Anatomy The Anatomical Basis of Clinical Practice. (2008) 40th ed International Edition (UK) : Churchill Livingstone Elsevier : 978 – 81.
  4. Libby P, Bonow RO, Mann DL, Zipes DP (2008) Braunwald Heart Diseases – A text book of Cardiovascular Medicine. 8th Ed, Saunders: 478.
  5. Hussein Ali Fakir, Rgeeb AN, Gheni MN. Pattern of coronary artery dominancy by coronary angiography in Iraqi patients & the relationship with coronary artery disease. Iraq academy of scientific journals. 2012;13(2):180-189.
  6. Watanabe Y, Sakakura K, Taniguchi Y, et al. Determinants of in-hospital death in acute myocardial infarction with triple vessel disease. Int Heart J 2016;57:697-704.
    https://doi.org/10.1536/ihj.16-170 PMid:27829643
  7. Zeymer U, Vogt A, Zahn R, et al. Predictors of in-hospital mortality in 1333 patients with acute myocardial infarction complicated by cardiogenic shock treated with primary percutaneous coronary intervention (PCI); results of the primary PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK). Eur Heart J 2004;25:322-8. https://doi.org/10.1016/j.ehj.2003.12.008
    PMid:14984921
  8. Marek Krzanowski, Wojciech Bodzon and Pawel Petkow Dimitrow. Imaging of all three coronary arteries by transthoracic echocardiography. An illustrated guide Cardiovascular Ultrasound. 2003;1:16. https://doi.org/10.1186/1476-7120-1-16 PMid:14622441 PMCid:PMC317358
  9. Samad Ghaffari, Babak Kazemi, Jalil Dadashzadeh, Bita Sepehri. The Relation between Left Coronary Dominancy and Atherosclerotic Involvement of Left Anterior Descending Artery Origin.Journal of Cardiovascular and Thoracic Research. 2013;5(1):1-4.
  10. Hussein Ali Fakir, Rgeeb AN, Gheni MN. Pattern of coronary artery dominancy by coronary angiography in Iraqi patients & the relationship with coronary artery disease. Iraq academy of scientific journals 2012;13(2):180-189.
  11. Parikh N I,Rosenthal E J,Honeycutt E, Roe M et al. Left-Dominant Coronary Artery Circulation is Associated With Higher In-Hospital Mortality Among Patients Undergoing Percutaneous Coronary Intervention In Acute Coronary Syndrome: Data From The American College Of Cardiology National Cardiovascular Data Registry For Catheterization Percutaneous Coronary Intervention. J.American College of Cardiology. 2011;57(14):27-36. https://doi.org/10.1016/S0735-1097(11)60903-0
  12. Gazetopoulus N, Ioannidis PJ, Marselos A, Kelekis D, Lolas C, Avgoustakis D, et al. Length of main left coronary artery in relation to atherosclerosis of its branches: a coronary arteriographic study. Br Heart J 1976;38:180-185.
    https://doi.org/10.1136/hrt.38.2.180 PMid:1259831 PMCid:PMC482990

Cite this article: S. Priyadharshini, M. Sivakumar, Mark Christopher Arokiaraj, V.Nagaguhan. THE RELATION BETWEEN CORONARY DOMINANCE AND MULTIVESSEL INVOLVEMENT. Int J Anat Res 2020;8(3.2):7639-7643. DOI: 10.16965/ijar.2020.135