Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-07-30DOI: 10.1097/MCA.0000000000001519
Leizhi Ku, Zheng Liu, Xiaojing Ma
{"title":"Anomalous left coronary artery arising from the right sinus of Valsalva with an intramural course.","authors":"Leizhi Ku, Zheng Liu, Xiaojing Ma","doi":"10.1097/MCA.0000000000001519","DOIUrl":"10.1097/MCA.0000000000001519","url":null,"abstract":"","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e87-e88"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-03-05DOI: 10.1097/MCA.0000000000001517
Tereza Luiza B Fakhouri, Daphnne Camaroske Vera, Viviane Aparecida R Sant'Anna, Esteferson F Rodrigues, Nelson C Farias, Maria Cristina O Izar, Francisco Antonio Fonseca, Magnus Gidlund, Henrique A R Fonseca
{"title":"Circulation of natural autoantibodies against an immunodominant region of the apolipoprotein B after an acute coronary syndrome: a prospective observational study.","authors":"Tereza Luiza B Fakhouri, Daphnne Camaroske Vera, Viviane Aparecida R Sant'Anna, Esteferson F Rodrigues, Nelson C Farias, Maria Cristina O Izar, Francisco Antonio Fonseca, Magnus Gidlund, Henrique A R Fonseca","doi":"10.1097/MCA.0000000000001517","DOIUrl":"10.1097/MCA.0000000000001517","url":null,"abstract":"","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e64-e66"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew P Rabenstein, Rishabh Matta, Brent A Williams, Jeanette Brocious, Rodrigo Campana, Aryan Meknat, Sean Forrest, Stephen Bailey, Michael S Halbreiner
{"title":"Association between perioperative prealbumin level and outcomes in coronary bypass surgery patients.","authors":"Andrew P Rabenstein, Rishabh Matta, Brent A Williams, Jeanette Brocious, Rodrigo Campana, Aryan Meknat, Sean Forrest, Stephen Bailey, Michael S Halbreiner","doi":"10.1097/MCA.0000000000001572","DOIUrl":"https://doi.org/10.1097/MCA.0000000000001572","url":null,"abstract":"<p><strong>Background: </strong>Albumin and BMI have been used as nutritional markers of morbidity and mortality. Recently, prealbumin has grown in interest in other surgical disciplines, but less so in cardiac surgery. Thus, this study examined the association between prealbumin and bleeding, mortality, and readmission in coronary artery bypass graft (CABG) patients.</p><p><strong>Methods: </strong>A retrospective review was performed on all patients undergoing CABG at a single institution from July 2017 to December 2021. Study patients underwent CABG as part of an isolated or combined procedure and had a perioperative prealbumin measurement. The primary study endpoints were intra- and post-operative bleeding, and mortality and hospital readmission within 30 days.</p><p><strong>Results: </strong>A total of 1211 patients underwent CABG surgery and had a documented perioperative prealbumin. Prealbumin levels were stratified as ≤10, 10-15, 15-20, or >20 mg/dl. There were no differences across prealbumin groups in preoperative antiplatelet use, anticoagulant use, or concomitant procedures. Patients with low prealbumin were more likely to be older, female, and to have an urgent myocardial infarction presentation with lower preoperative BMI and albumin. In adjusted models including albumin and BMI, CABG patients with prealbumin ≤10 mg/dl were more likely to receive any intraoperative [odds ratio (OR) = 3.11, 95% confidence interval (CI): 1.43, 6.75] or postoperative transfusion (OR = 2.54, 95% CI: 1.27, 5.08) compared to patients with prealbumin >20 mg/dl. Patients with a lower prealbumin had higher 30-day mortality (P < 0.001) and readmission rates (P = 0.06).</p><p><strong>Conclusion: </strong>Perioperative prealbumin levels were associated with blood transfusions, mortality, and readmissions in CABG patients.</p>","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-01-29DOI: 10.1097/MCA.0000000000001510
Andreia Campinas, André Alexandre, Bruno Brochado, João Calvao, Marta Braga, João Carlos Silva, Mariana Brandão, Marisa Silva, Gustavo Pires-Morais, David Sá Couto, Mariana Santos, Catarina Gomes, Raquel Santos, André Luz, João Silveira, Severo Torres
{"title":"Mechanical circulatory support devices in acute left main disease: a multicenter study.","authors":"Andreia Campinas, André Alexandre, Bruno Brochado, João Calvao, Marta Braga, João Carlos Silva, Mariana Brandão, Marisa Silva, Gustavo Pires-Morais, David Sá Couto, Mariana Santos, Catarina Gomes, Raquel Santos, André Luz, João Silveira, Severo Torres","doi":"10.1097/MCA.0000000000001510","DOIUrl":"10.1097/MCA.0000000000001510","url":null,"abstract":"","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"515-517"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-07-30DOI: 10.1097/MCA.0000000000001502
Francisco Barbas de Albuquerque, Tiago Mendonça, Luís Morais
{"title":"Thrombectomy using Penumbra aspiration system through Guideliner 7F catheter for high thrombotic burden myocardial infarction.","authors":"Francisco Barbas de Albuquerque, Tiago Mendonça, Luís Morais","doi":"10.1097/MCA.0000000000001502","DOIUrl":"10.1097/MCA.0000000000001502","url":null,"abstract":"","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e82-e84"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-07-30DOI: 10.1097/MCA.0000000000001500
Leili Pourafkari, Salman Ansari, April Kinninger, Matthew J Budoff
{"title":"Coronary artery dominance influences the distribution of calcified plaques in the coronary tree.","authors":"Leili Pourafkari, Salman Ansari, April Kinninger, Matthew J Budoff","doi":"10.1097/MCA.0000000000001500","DOIUrl":"10.1097/MCA.0000000000001500","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery dominance is determined by the coronary artery emitting the posterior descending artery. In the left dominant system, a greater proportion of coronary flow enters the left coronary artery, potentially influencing calcified plaque development in the left anterior descending artery (LAD).</p><p><strong>Methods: </strong>This retrospective single-center cohort study analyzed patients who underwent computed tomography angiography from September 2006 to December 2022 at Harbor-UCLA in Los Angeles, California. Coronary artery calcium (CAC) was quantified for the three coronary vessels. The LAD calcium score was divided by the total calcium score to calculate the LAD calcium percentage, which was compared between left and right dominant coronary systems. Multivariable linear regression assessed the association between LAD calcium percentage and coronary dominance, adjusting for age, gender, BMI, hyperlipidemia, hypertension, family history of cardiovascular disease, and past smoking.</p><p><strong>Results: </strong>Among 9560 subjects, 6766 with CAC greater than zero were enrolled. The average age was 64.8 ± 10.7 years: 68% were male, and 9% had left dominant coronary systems. The median CAC was 51 [0-352] in the right dominant and 49 [0-358] in the left dominant system ( P = 0.73). Adjusted analysis revealed that individuals with left dominant coronary systems had a 10.1% higher (CI 7.5-12.8%, P < 0.001) LAD calcium percentage than those with right dominant systems.</p><p><strong>Conclusion: </strong>Although coronary dominance does not influence overall plaque burden of atherosclerosis, it affects calcified plaque distribution. The left dominant system is associated with a higher proportion of calcified plaque in the LAD, potentially heightening the risk of adverse cardiovascular events.</p>","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e26-e32"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-07-30DOI: 10.1097/MCA.0000000000001492
Rui Wang, Dan Wei, Min Gu, Jiao Mi, Xing Hu, Wanli Pu
{"title":"Nomogram model based on serum chitotriosidase activity to predict coronary artery aneurysm in Kawasaki disease.","authors":"Rui Wang, Dan Wei, Min Gu, Jiao Mi, Xing Hu, Wanli Pu","doi":"10.1097/MCA.0000000000001492","DOIUrl":"10.1097/MCA.0000000000001492","url":null,"abstract":"<p><strong>Objective: </strong>Kawasaki disease (KD) is a common children's disease with unknown etiology, which easily involves coronary artery and causes serious cardiovascular sequelae. The purpose was to investigate the relationship between chitotriosidase activity and coronary artery aneurysm (CAA) and develop and validate a nomogram to predict CAA in KD patients.</p><p><strong>Methods: </strong>A total of 338 KD patients were included in this study. Differences analysis compared baseline characteristics and multivariate logistic regression analysis to determine independent risk factors for CAA in KD patients. Based on this independent risk factor, the nomogram was constructed and validated.</p><p><strong>Results: </strong>Of 338 KD patients, 107 patients developed CAA. Multivariate logistic regression analysis identified that low-density lipoprotein (LDL) [odds ratio (OR):1.456, 95% confidence interval (CI): 1.062-1.996], age (OR: 0.986, 95% CI: 0.974-0.998), neutrophil-to-lymphocyte ratio (NLR) (OR: 1.098, 95% CI: 1.020-1.182), and chitotriosidase activity (OR: 1.115, 95% CI: 1.111-1.192) were independent predictors for CAA. The nomogram was established based on serum chitotriosidase activity and clinical characteristics, and this nomogram has demonstrated to be of potential value in clinical practice using the receiver operating characteristic curve, calibration curve, and decision curve analysis.</p><p><strong>Conclusion: </strong>LDL, age, NLR, and chitotriosidase activity were independent risk factors for CAA. Based on this independent risk factor, the nomogram was constructed to guide clinicians to effectively predict CAA and adopt appropriate interventions such as more aggressive anti-inflammatory and more frequent follow-up.</p>","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"510-514"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery diseasePub Date : 2025-09-01Epub Date: 2025-07-30DOI: 10.1097/MCA.0000000000001516
Leizhi Ku, Zheng Liu, Xiaojing Ma
{"title":"Congenital systemic and coronary-to-pulmonary artery fistulas with a coronary aneurysm rupture.","authors":"Leizhi Ku, Zheng Liu, Xiaojing Ma","doi":"10.1097/MCA.0000000000001516","DOIUrl":"10.1097/MCA.0000000000001516","url":null,"abstract":"","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e85-e86"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}