Coronary artery anomalies are uncommon, with a reported prevalence ranging
from 0.2% to 1.6%. It is important that those who undertake coronary angiog
raphic procedures are aware of the spectrum of these anomalies. Interventio
nal percutaneous coronary revascularisation procedures are widely used in t
he management of patients with symptomatic coronary atherosclerosis. The pr
esence of a coronary artery anomaly may make these procedures technically c
hallenging, We have reviewed the Cardiac catheterisation database at the Ro
yal Victoria Hospital, Belfast, and report the prevalence and types of thes
e anomalies.