Abstract
Coronary artery anomalies are not uncommon, occurring in 1.3% (range = 0.3 - 5.6%) of the population, and are often an incidental finding in asymptomatic patients. Approximately 20% of coronary anomalies have potential for life-threatening complication, including myocardial infarction, arrhythmia, or sudden death early in life or during adulthood. Coronary artery anomalies are composed of a wide variety of disorders. Some, such as anomalous location of a coronary ostium, duplication of coronary arteries, or multiple ostia, become clinically significant only when another cardiac surgical procedure is necessary, and generally, surgical correction is not required in these patients. On the other hand, the diagnosis of anomalous origin of left coronary artery from pulmonary artery or from the opposite sinus with inter-arterial course is an indication for operation. Some anomalies like coronary artery fistulas, myocardial bridging, and coronary aneurysm require operation only when they cause clinical symptoms. Coronary artery anomalies should be included in the differential diagnosis of anginal symptoms, myocardial infarction, arrhythmia, or heart failure, especially in young patients. Increased awareness of these pathologies will lead to earlier diagnosis and treatment of a potentially life-threatening condition.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 239-251 |
| Number of pages | 13 |
| Journal | Congenital Heart Disease |
| Volume | 4 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2009 |
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Keywords
- Coronary artery anomalies
- Diagnosis
- Surgery
- Symptoms
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Pediatrics, Perinatology, and Child Health
- Surgery
- Radiology Nuclear Medicine and imaging
Cite this
Congenital coronary anomalies and surgical treatment. / Kayalar, Nihan; Burkhart, Harold M.; Dearani, Joseph A.; Cetta, Frank; Schaff, Hartzell V.
In: Congenital Heart Disease, Vol. 4, No. 4, 2009, p. 239-251.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Congenital coronary anomalies and surgical treatment
AU - Kayalar, Nihan
AU - Burkhart, Harold M.
AU - Dearani, Joseph A.
AU - Cetta, Frank
AU - Schaff, Hartzell V
PY - 2009
Y1 - 2009
N2 - Coronary artery anomalies are not uncommon, occurring in 1.3% (range = 0.3 - 5.6%) of the population, and are often an incidental finding in asymptomatic patients. Approximately 20% of coronary anomalies have potential for life-threatening complication, including myocardial infarction, arrhythmia, or sudden death early in life or during adulthood. Coronary artery anomalies are composed of a wide variety of disorders. Some, such as anomalous location of a coronary ostium, duplication of coronary arteries, or multiple ostia, become clinically significant only when another cardiac surgical procedure is necessary, and generally, surgical correction is not required in these patients. On the other hand, the diagnosis of anomalous origin of left coronary artery from pulmonary artery or from the opposite sinus with inter-arterial course is an indication for operation. Some anomalies like coronary artery fistulas, myocardial bridging, and coronary aneurysm require operation only when they cause clinical symptoms. Coronary artery anomalies should be included in the differential diagnosis of anginal symptoms, myocardial infarction, arrhythmia, or heart failure, especially in young patients. Increased awareness of these pathologies will lead to earlier diagnosis and treatment of a potentially life-threatening condition.
AB - Coronary artery anomalies are not uncommon, occurring in 1.3% (range = 0.3 - 5.6%) of the population, and are often an incidental finding in asymptomatic patients. Approximately 20% of coronary anomalies have potential for life-threatening complication, including myocardial infarction, arrhythmia, or sudden death early in life or during adulthood. Coronary artery anomalies are composed of a wide variety of disorders. Some, such as anomalous location of a coronary ostium, duplication of coronary arteries, or multiple ostia, become clinically significant only when another cardiac surgical procedure is necessary, and generally, surgical correction is not required in these patients. On the other hand, the diagnosis of anomalous origin of left coronary artery from pulmonary artery or from the opposite sinus with inter-arterial course is an indication for operation. Some anomalies like coronary artery fistulas, myocardial bridging, and coronary aneurysm require operation only when they cause clinical symptoms. Coronary artery anomalies should be included in the differential diagnosis of anginal symptoms, myocardial infarction, arrhythmia, or heart failure, especially in young patients. Increased awareness of these pathologies will lead to earlier diagnosis and treatment of a potentially life-threatening condition.
KW - Coronary artery anomalies
KW - Diagnosis
KW - Surgery
KW - Symptoms
UR - http://www.scopus.com/inward/record.url?scp=68249154977&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=68249154977&partnerID=8YFLogxK
U2 - 10.1111/j.1747-0803.2009.00301.x
DO - 10.1111/j.1747-0803.2009.00301.x
M3 - Article
C2 - 19664026
AN - SCOPUS:68249154977
VL - 4
SP - 239
EP - 251
JO - Congenital Heart Disease
JF - Congenital Heart Disease
SN - 1747-079X
IS - 4
ER -