Multiple Coronary Ostia and Their Clinical and Surgical Significance
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: Anomalous origin of multiple coronary ostia from a single coronary sinus are very rare findings. Proficiency in the anatomy of coronary arteries and their variations is significant for proper interpretation of the coronary angiographies, assessment of the complexity and result of coronary insufficiency as well as surgical myocardium revascularization. Anomalous coronary ostia has severe clinical manifestation including sudden death in young athelets so taking into consideration its importance this study is carried out to study in detail the normal and variant anatomy of coronary ostia and its clinical significance in the living subjects. Method: This study is carried out in 50 embalmed human hearts by fine dissection method with the help of pointed forceps. We find out origin of multiple ostia of coronary arteries from a single coronary sinus. The courses of arteries arising from these anomalous ostia are also studied in detailed. Result & Conclusion: Very few data exist on the clinical relevance of different coronary arteries anomalies which necessitate a proper management and follow up protocol. The patho-physiological complexity, non specific manifestations and unclear relationship with myocardial ischemia, and sudden death due to anomalous coronary ostia attracted to do this study and apply this knowledge in living subjects to overcome the morbidity and mortality in them and to help the cardiologist during routine diagnostic work up for cardiac diseases and management of these diseases.
Authors and Affiliations
Dr. Surekha Wamanrao Meshram, Dr. Anjali Rai Ladia, Dr. V. P. Rukhmode, Dr. Ujwal L. Gajbe
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