Anomalous single coronary artery complicating ventriculotomy in a child with cyanotic congenital heart disease

Friedman, Steven; Ash, Rachel; Klein, Dorothy; Johnson, Julian

doi:10.1016/0002-8703(60)90393-8

Cited by 34 publications

(8 citation statements)

References 7 publications

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“…Anomalous vessels are not always detectable during the operation, especially when the coronary arteries are obscured by the overlying myocardium and epicardial fat [Friedman 1960;White 1972] or during reoperation due to epicardialpericardial adhesions in patients who previously underwent palliative surgery. We suggest that MDCT angiography can be easily used in these patients as a noninvasive diagnostic technique when the coronary artery anatomy can not be displayed during cardiac catheterization.…”

Section: Discussionmentioning

confidence: 99%

Demonstration of Coronary Arteries and Major Cardiac Vascular Structures in Congenital Heart Disease by Cardiac Multidetector Computed Tomography Angiography

Dogan¹,

Karçaaltıncaba²,

Yorgancioglu³

et al. 2007

The Heart Surgery Forum

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The advantage of MDCT for cardiac imaging is the shortened scanning time for imaging the entire heart without long breath-holding times. Selective conventional coronary angiography is invasive and technically difficult in pediatric patients. We suggest that MDCT angiography can be performed as a noninvasive method in patients with CHD for the evaluation of coronary artery anatomy and anomalies and mediastinal vascular structures.

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Section: Discussionmentioning

confidence: 99%

Demonstration of Coronary Arteries and Major Cardiac Vascular Structures in Congenital Heart Disease by Cardiac Multidetector Computed Tomography Angiography

Dogan¹,

Karçaaltıncaba²,

Yorgancioglu³

et al. 2007

The Heart Surgery Forum

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“…In TOF, morphological anomalies consist of a ventricular septal defect, overriding aorta, pulmonary stenosis and right ventricular hypertrophy as secondary feature [2]. Anomalous coronary arteries (ACA) as part of the spectrum of congenital heart disease have been described since the 1960's [3]. Since then, many reports have described the embryologic development and the clinical relevance of different anomalies, including the prevalence of ACA in congenital heart disease.…”

Section: Introductionmentioning

confidence: 99%

Coronary anomalies in tetralogy of Fallot – A meta-analysis

Koppel

Jongbloed

Kiès

et al. 2020

International Journal of Cardiology

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Background: An anomalous coronary artery is reported in 2% to 23% of patients with tetralogy of Fallot (TOF). Knowledge of coronary anatomy prior to corrective surgery is vital to avoid damage to vessels crossing the right ventricular outflow tract (RVOT). A meta-analysis on the prevalence of anomalous coronary arteries in TOF is lacking to date. Here, an overview of coronary anomalies in TOF is provided and implications for patient management are discussed. Methods: PubMed, Embase and Web of Science were searched. Analysis was done using Revman 5.3 (Cochrane Community, London). The primary analysis focused on the origin and proximal course of the right and left coronary arteries. In addition, the prevalence of large conus arteries and coronary arteriovenous fistulas (CAVF) was calculated. Results: Twenty-eight studies, encompassing 6956 patients, were included; 6% of TOF patients have an anomalous coronary artery. Hereof, 72% cross the RVOT; the majority of the remaining 28% courses behind the aorta. Six percent of patients have a large conus artery and 4% a CAVF. Other coronary anomalies include a left or right coronary artery from the pulmonary trunk or left or right pulmonary artery, coronary tree hypoplasia and anastomoses between coronary and bronchial arteries. Conclusions: The prevalence of coronary anomalies in TOF is 4-6%. In patients with an anomalous coronary artery, 72% cross the RVOT. The combined risk of encountering an anomalous coronary artery or a large conus artery crossing the RVOT is 10.3%. Coronary anatomy should be defined before surgery and the surgical approach adapted accordingly.

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“…The anomalous origin of the LAD from the RCA is not the only variant found in these patients.1 2,4,6,[8][9][10][11][12][13] In order to prevent possible consequences that may follow the division of an aberrant vessel,1 2, 5, 14, 15 the course and distribution of the coronary arteries must be known before operation. For this reason, we usually carry out selective coronary angiography in patients with TF before corrective surgery.…”

mentioning

confidence: 99%

Distribution and anomalies of coronary arteries in tetralogy of fallot.

Dabizzi¹,

Caprioli²,

Aiazzi³

et al. 1980

Circulation

147

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The surgical management of tetralogy of Fallot (TF) may be complicated by anomalies in the course and distribution of coronary arteries. Selective coronary angiography was performed in 119 cases of TF in order to prevent injury of aberrant vessels. In 11 patients, anomalies in the origin of coronary branches were revealed (five patients with a single coronary ostium, five with the anterior descending coronary artery arising from the right coronary artery or right sinus of Valsalva, and one with the circumflex artery arising from the right coronary artery). Other findings include anastomoses between coronary and bronchial arteries, small fistulas between coronary arteries and the pulmonary artery or right atrium, and hypoplasia of the coronary tree. The onset of left anterior hemiblock after total correction of TF could possibly be explained, in cases with a dominant left pattern, by injury to the coronary system after closure of the interventricular septal defect, rather than by injury to the conduction system.

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Anomalous single coronary artery complicating ventriculotomy in a child with cyanotic congenital heart disease

Cited by 34 publications

References 7 publications

Demonstration of Coronary Arteries and Major Cardiac Vascular Structures in Congenital Heart Disease by Cardiac Multidetector Computed Tomography Angiography

Demonstration of Coronary Arteries and Major Cardiac Vascular Structures in Congenital Heart Disease by Cardiac Multidetector Computed Tomography Angiography

Coronary anomalies in tetralogy of Fallot – A meta-analysis

Distribution and anomalies of coronary arteries in tetralogy of fallot.

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