scholarly journals Coronary Artery Anomalies: A Comprehensive Approach

Circulation ◽  
2001 ◽  
Vol 103 (13) ◽  
Author(s):  
Joseph K. Perloff
Keyword(s):  
Coronary Artery ◽  
Comprehensive Approach ◽  
Coronary Artery Anomalies

Epidemiology of coronary abnormalities of discharge and branching and their clinical significance

2019 ◽  
Vol 22 (6) ◽  
pp. 40-50
Author(s):  
E. F. Abbasov ◽  
S. S. Manafov ◽  
F. Z. Abdullayev ◽  
F. E. Abbasov ◽  
A. G. Akhundova
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
World Literature ◽  
Incidence Rates ◽  
Coronary Anomalies ◽  
Coronary Artery Anomalies ◽  
Coronary Abnormalities ◽  
Magnetic Resonance Imaging Mri ◽  
Age Range ◽  
Living Person

Purpose.Until the mid-20th century they could be discovered only during autopsy, it means after death. With the introduction of coronary angiography it become possible to find them in a living person. Later on, new modalities such as computed tomography (CT) and magnetic resonance imaging (MRI) enhanced futher our abilities. It is very important to discover coronary anomalies in a living person, because some of them could lead to sudden cardiac death (SCD). In fact, coronary artery anomalies are the second main cause of the SCD in young athletes. Another importance is driven by the fact, that some of them could lead to lifethreatening complications during cardiac surgery when unknown before the operation.Methods.We prospectively reviewed all coronary angiography films from 2011 to 2016 in our center. Coronary anomalies were reviewed and classified by two independent experienced operators. Patients with congenital heart disease and coronary fistulas were excluded.Results.Out of 5055 patients 148 (2.9%) had coronary artery anomalies of origin and distribution. Those were 120 men (81.1%) and 28 women (18.9%) with an age range between 29 to 88 years. The three most common anomalies were myocardial bridge (48.7%), separate origin of the conus branch (13.5%) and separate origin of the LAD and LCX (8.1%).Conclusion.In our study we found more or less the same types and incidence rates of coronary artery anomalies as in the world literature. We had apparently higher rates of myocardial bridges, compared to average number on angiography studies, but very close to authopsy study rates.

An overview of surgery options for congenital coronary artery anomalies

2010 ◽  
Vol 6 (5) ◽  
pp. 627-645 ◽  
Author(s):  
Constantine Mavroudis ◽  
Ali Dodge-Khatami ◽  
Robert D Stewart ◽  
Marshall L Jacobs ◽  
Carl L Backer ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Anomalies ◽  
Congenital Coronary Artery Anomalies

Paediatric-onset coronary artery anomalies in pregnancy: a single-centre experience and systematic literature review

2017 ◽  
Vol 27 (8) ◽  
pp. 1529-1537 ◽  
Author(s):  
Michelle Keir ◽  
Catriona Bhagra ◽  
Debra Vatenmakher ◽  
Francisca Arancibia-Galilea ◽  
Katrijn Jansen ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Arrest ◽  
Coronary Artery ◽  
Cardiovascular Events ◽  
Coronary Anomalies ◽  
Coronary Artery Anomalies ◽  
Major Cardiovascular Events ◽  
Coronary Aneurysms ◽  
Increased Risk ◽  
In Pregnancy

AbstractObjectivesIndividuals with childhood-onset coronary artery anomalies are at increased risk of lifelong complications. Although pregnancy is thought to confer additional risk, a few data are available regarding outcomes in this group of women. We sought to define outcomes of pregnancy in this unique population.MethodsWe performed a retrospective survey of women with paediatric-onset coronary anomalies and pregnancy in our institution, combined with a systematic review of published cases. We defined paediatric-onset coronary artery anomalies as congenital coronary anomalies and inflammatory arteriopathies of childhood that cause coronary aneurysms. Major cardiovascular events were defined as pulmonary oedema, sustained arrhythmia requiring treatment, stroke, myocardial infarction, cardiac arrest, or death.ResultsA total of 25 surveys were mailed, and 20 were returned (80% response rate). We included 46 articles from the literature, which described cardiovascular outcomes in 82 women (138 pregnancies). These data were amalgamated for a total of 102 women and 194 pregnancies; 59% of women were known to have paediatric-onset coronary artery anomalies before pregnancy. In 23%, the anomaly was unmasked during or shortly after pregnancy. The remainder, 18%, was diagnosed later in life. Major cardiovascular events occurred in 14 women (14%) and included heart failure (n=5, 5%), myocardial infarction (n=7, 7%), maternal death (n=2, 2%), cardiac arrest secondary to ventricular fibrillation (n=1, 1%), and stroke (n=1, 1%). The majority of maternal events (13/14, 93%) occurred in women with no previous diagnosis of coronary disease.ConclusionsWomen with paediatric-onset coronary artery anomalies have a 14% risk of adverse cardiovascular events in pregnancy, indicating the need for careful assessment and close follow-up. Prospective, multicentre studies are required to better define risk and predictors of complications during pregnancy.

scholarly journals Detection of major coronary artery anomalies in a pediatric and adult population: A prospective echocardiographic study

2013 ◽  
Vol 106 (8-9) ◽  
pp. 467
Author(s):  
F. Labombarda ◽  
G. Coutance ◽  
C. Mery ◽  
A. Hodzic ◽  
P. Dupont-Chauvet ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Adult Population ◽  
Coronary Artery Anomalies ◽  
Echocardiographic Study ◽  
Major Coronary Artery

scholarly journals Coronary artery anomalies in adults: Imaging at dual source CT coronary angiography

2012 ◽  
Vol 57 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Fotios Laspas ◽  
Arkadios Roussakis ◽  
Christos Mourmouris ◽  
Nikolaos Kritikos ◽  
Roxani Efthimiadou ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Ct Coronary Angiography ◽  
Dual Source Ct ◽  
Coronary Artery Anomalies ◽  
Dual Source

scholarly journals Coronary artery anomalies

2012 ◽  
Vol 31 (7-8) ◽  
pp. 477-484
Author(s):  
Carla Almeida ◽  
Raquel Dourado ◽  
Carina Machado ◽  
Emília Santos ◽  
Nuno Pelicano ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Anomalies

scholarly journals ALCAPA: The Al Capone of coronary artery anomalies

2012 ◽  
Vol 16 (3) ◽  
pp. 100-101 ◽  
Author(s):  
Farzanah Ismail
Keyword(s):  
Coronary Artery ◽  
Mortality Rate ◽  
Left Coronary Artery ◽  
First Year ◽  
Coronary Artery Anomalies ◽  
Perfusion System ◽  
Anomalous Left Coronary Artery ◽  
First Year Of Life ◽  
Anomalous Left Coronary ◽  
Artery Perfusion

Anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare coronary artery anomaly that presents with myocardial ischaemia or infarction and/or cardiac failure in infants. It is associated with a mortality rate of 90% within the first year of life. Surgical correction to re-establish a two-coronary artery perfusion system is the treatment of choice, once patients are medically stable.

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