ANGIOGRAPHIC INCIDENCE AND PATTERN OF PRI MARY CORONARY ANOMALIES

Among 7264 patients undergoing cardiac catheterization at the Departme nt of Cardiology, University of Lubeck, the incidence and angiographic spectrum of coronary anomalies were evaluated. Coronary anomalies wer e found with a total incidence of 1.2% (92 patients), 66 patients (0.9 %) had anomalies of origin, initial course and distribution and 26 (0. 3%) had coronary fistulae. By clinical and hemodynamic criteria, coron ary anomalies are divided into ''benign'' and ''potentially serious'' forms. Awareness of the incidence, type and hemodynamic significance o f coronary anomalies enables an uneventful coronary angiography and pe rmits proper management.