Document Detail

Congenital coronary artery anomalies.
MedLine Citation:
PMID:  15331284     Owner:  NLM     Status:  MEDLINE    
Congenital coronary artery anomalies are rare but can carry a significant risk of myocardial ischemia, myocardial dysfunction, congestive heart failure, and sudden death. This risk seems to be highest during childhood and adolescence; therefore, an understanding of these anomalies is important for the pediatrician and pediatric cardiologist. This article focuses on the anatomic features, mode of presentation, diagnostic findings, and surgical treatments that are available for the two most common types of isolated congenital coronary anomalies that are associated with myocardial ischemia during childhood: (1) anomalous origin of a coronary artery from the opposite sinus of Valsalva with an interarterial course between the great arteries and (2) anomalous origin of a coronary artery from the pulmonary artery. A brief discussion of coronary artery fistulous connections completes the article.
Peter C Frommelt; Michele A Frommelt
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric clinics of North America     Volume:  51     ISSN:  0031-3955     ISO Abbreviation:  Pediatr. Clin. North Am.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-08-27     Completed Date:  2004-10-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0401126     Medline TA:  Pediatr Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1273-88     Citation Subset:  AIM; IM    
Division of Pediatric Cardiology, Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin, 900 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
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MeSH Terms
Coronary Circulation
Coronary Vessel Anomalies / diagnosis*,  pathology,  physiopathology,  surgery
Echocardiography, Doppler
Myocardial Ischemia / pathology
Vascular Fistula / diagnosis

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