{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:41:59Z","timestamp":1777880519377,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Coronary artery anomalies are uncommon, but important cardiac malformations, representing the second commonest cause of death in young athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We utilized computerized tomographic angiography to screen and precisely delineate coronary artery anomalies in patients with minimal cardiac symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During 3.5-year period, we performed 2888 computerized tomographic angiographies. A total of 33 (1.1%; 95% confidence interval\u2009=\u20090.7\u20131.5) cases of coronary artery anomalies were identified (mean age\u2009=\u200944\u2009\u00b1\u200913.5 (15\u201370)\u2009years). In total, 23 patients (mean age\u2009=\u200943\u2009years) had malignant coronary artery anomalies with an inter-arterial course of the aberrant vessel: of which 3 had left main coronary artery arising from right coronary sinus and 20 right coronary artery from left sinus; 19 patients were of Asian and 14 were of Arab origins. Of interest, 21 out of 33 patients had chest pain, 5 had palpitations, and 2 had breathlessness. There were no examples of sudden cardiac death. All patients received appropriate advice regarding physical exertion and medical management, and remained well for 2\u20135\u2009years of follow-up. Of 33 patients, 4 had significant symptomatic coronary artery disease requiring intervention: 1 percutaneous coronary intervention and 3 coronary artery bypass graft surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a relatively high incidence of coronary artery anomalies with malignant course in Asians. The vast majority were managed conservatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2050312117741823","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T02:24:59Z","timestamp":1510626299000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Coronary artery anomalies: Unusually high incidence of anomalies with a malignant course in an Asian population"],"prefix":"10.1177","volume":"5","author":[{"given":"Abdulaziz M","family":"Alkhulaifi","sequence":"first","affiliation":[{"name":"CT Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nidheesh","family":"Chooriyil","sequence":"additional","affiliation":[{"name":"CT Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Alkuwari","sequence":"additional","affiliation":[{"name":"Department of Imaging, Heart Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelnasser N","family":"Ghareep","sequence":"additional","affiliation":[{"name":"Department of Imaging, Heart Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelia","family":"Carr","sequence":"additional","affiliation":[{"name":"CT Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,13]]},"reference":[{"key":"bibr1-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra022783"},{"key":"bibr2-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(91)90727-Y"},{"key":"bibr3-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1097\/00045415-200111000-00005"},{"key":"bibr4-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199808063390602"},{"key":"bibr5-2050312117741823","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00005"},{"key":"bibr6-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)91406-T"},{"key":"bibr7-2050312117741823","doi-asserted-by":"publisher","DOI":"10.4103\/0975-3583.91598"},{"key":"bibr8-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1007\/BF03091817"},{"key":"bibr9-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199604183341607"},{"key":"bibr10-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"bibr11-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/15296170"},{"key":"bibr12-2050312117741823","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.05.056"}],"container-title":["SAGE Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050312117741823","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050312117741823","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050312117741823","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:14:02Z","timestamp":1777594442000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050312117741823"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,1]]},"references-count":12,"alternative-id":["10.1177\/2050312117741823"],"URL":"https:\/\/doi.org\/10.1177\/2050312117741823","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,1]]},"article-number":"2050312117741823"}}