A systematic overview of anomalous coronary anatomy and an examination of the association with sudden cardiac death

Elizabeth C. Lorenz, Farouk Mookadam, Martina Mookadam, Sherif Moustafa, Kenton J. Zehr

Research output: Contribution to journalReview article

34 Scopus citations

Abstract

Coronary artery anomalies are a frequently neglected topic in cardiology. However, they are an important cause of cardiac ischemia and sudden death. Anomalous pulmonary artery and anomalous aortic origins of the coronaries are 2 major types of coronary artery anomalies. This article will examine the occurrence of these anomalies in the absence of associated congenital defects. A review of the literature reveals that the anomaly most commonly associated with sudden death is a left main coronary artery arising from the right aortic sinus of Valsalva with an interarterial course. The increased risk of sudden death with this anomaly has been associated with any of 4 high-risk features: slit-like ostium, acute-angle take-off, intramural aortic segment, and interarterial course.

Original languageEnglish (US)
Pages (from-to)205-213
Number of pages9
JournalReviews in cardiovascular medicine
Volume7
Issue number4
StatePublished - Sep 1 2006

Keywords

  • Aortic origin
  • Coronary artery anomalies
  • Pulmonary artery origin
  • Sinus of Valsalva
  • Sudden cardiac death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'A systematic overview of anomalous coronary anatomy and an examination of the association with sudden cardiac death'. Together they form a unique fingerprint.

  • Cite this