Volume : VII, Issue : VII, July - 2018

CORONARY TORTUOSITY & ITS CLINICAL SIGNIFICANCE

Dr. A. Himabindu

Abstract :

Coronary arteries are the vasa vasorum of the heart. They supply oxygen rich blood to myocardium during diastole. Normally these vessels are not tortuous ,sometimes the anches of the right and left coronary arteries show tortuousity that have impact on the blood supply to the heart during exercise. The present study was done on 40 hearts that were removed during undergraduate teaching of medical students. All the anches of the coronary arteries were traced to find out the tortuous vessels. Tortuosity was observed in the anches of coronary arteries of three hearts, mostly involving the left anterior descending anch. The degree of tortuousity varied from mild to moderate depending on the curves of the vessel. Normally the tortuous vessel  may not affect the coronary supply at rest but may compromise during exercise .It was common in elderly female and hypertensive individuals due to lack of elastin in the wall of the vessel. The coronary tortuousity is associated with high incidence of spontaneous coronary artery dissection. Normally tortuous coronary vessels are identified in coronary angiography and serve as a marker for arterial dissection which may lead to complications like stent loss or vessel block during angioplasty. It may be related to autosomal recessive disease where there is generalized tortuousity involving the skin and joints as arterial tortuousity syndrome.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

Dr.A.Himabindu, CORONARY TORTUOSITY & ITS CLINICAL SIGNIFICANCE, PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-7 | July-2018

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