Coronary Arterial Anomalies

Dear Colleagues,

Coronary arterial anomalies (CAAs) are rare occurrences in the general population, with an incidence ranging from 0.3 to 1%. However, in recent times, they are being diagnosed more often due to the wide use of cross-sectional imaging for a variety of other indications. Subsequently, many questions have arisen, especially in asymptomatic patients, regarding the need and timing of interventions.

Due to the wide variety of these anomalies, no specific guidelines or rules can dictate what should be performed or what type of interventions can or should be carried out. These anomalies can include anomalies of origin, or anomalies of course, or the connections these coronary arteries have.

The majority of these anomalies are detected in young, active patients, and many physicians and/or cardiologists may restrict these patients from strenuous activities due to certain coronary anomalies, so this diagnosis may impact the patient’s life.

The need for thorough discussion with patients and their families about the diagnosis, the best plan of follow-up, and the best interventional option becomes mandatory. A multidisciplinary team is frequently involved in many of these situations to explain the risks, benefits, and alternatives in case interventions are needed.

In this Special Issue, we would like to take a dive into the different varieties of coronary arterial anomalies in terms of classifications, clinical decision-making, different types of interventions available, and different surgical techniques being performed for many of these anomalies.

Prof. Dr. Sameh M. Said
Guest Editor

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• coronary arterial anomalies
• sudden cardiac death
• trans-septal course of the left main coronary artery
• unroofing
• intramural coronary artery
• interarterial coronary artery
• anomalous aortic origin of the coronary artery