Six-month success of intracoronary stenting for anomalous coronary arteries associated with myocardial ischemia

Doorey, Andrew J.; Pasquale, Michael J.; Lally, James F; Mintz, Gary S.; Marshall, Erik; Ramos, David A.

doi:10.1016/s0002-9149(00)01023-7

Cited by 56 publications

(30 citation statements)

References 10 publications

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“…466 Coronary bypass grafting is increasingly viewed as a less favorable approach in light of the potential for competitive flow. 467 Surgical revascularization in centers with expertise in the surgical management of anomalous coronary arteries is suggested.…”

Section: Surgical and Catheterization-based Interventionmentioning

confidence: 99%

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

Warnes¹,

Williams²,

Bashore³

et al. 2008

Circulation

884

365

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Section: Surgical and Catheterization-based Interventionmentioning

confidence: 99%

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

Warnes¹,

Williams²,

Bashore³

et al. 2008

Circulation

884

365

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“…Coronary artery stenting also has shown good short-term results and could be the only option for critically ill patients. 21,22 …”

Section: Anomalous Origin Of the Coronary Arterymentioning

confidence: 99%

Anomalous Coronary Artery Found in the Syncopal Workup of an Elderly Man

Wilkins

Chen

et al. 2012

The Journal of the American Board of Family Medicine

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Syncope, defined as a transient loss of consciousness, is seen in 1% of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope. (J Am Board Fam Med 2012;25:541-546.) Keywords: Anomalous Coronary Arteries, Case Reports, Elderly, SyncopeA 66-year-old white man presented to our family medicine clinic after experiencing syncope. The day before his presentation, he reported driving home from work when he experienced chest heaviness, followed by a sensation that he was going to "pass out." He slowed his car and pulled into a parking lot. Then he experienced a brief loss of consciousness. A few minutes after regaining consciousness, his chest heaviness subsided and completely resolved. He denied any seizure activity, tongue biting, or urinary or fecal incontinence. His medical history was significant for hypertension, Parkinson disease, and erectile dysfunction. His medications included carbidopa/levodopa, pramipexole, and vardenafil.During examination, he was alert, awake, and oriented to person, place, and time. His vital signs included a heart rate of 85 beats per minute, supine blood pressure of 132/82 mm Hg, standing blood pressure of 118/78 mm Hg, and pulse oximetry of 99% on room air. No carotid bruits or murmurs were noted during auscultation. The patient had a resting tremor of his left hand and cog-wheel rigidity in the bilateral upper extremities. His gait was normal and his neurologic examination showed normal strength, sensation to light touch, and deep tendon reflexes.His electrocardiogram showed normal sinus rhythm with nonspecific T-wave flattening. His hemoglobin level was 13.9 g/dL (normal, 14-18.0 g/dL), his glucose level was 110 mg/dL (normal, 74-160 mg/dL), and his sodium, potassium, and calcium levels were normal. His cardiac enzymes included Troponin I, 0.010 ng/mL (normal, 0.020-0.060 ng/mL) and creatine phosphokinase, 76 u/L (normal, 51-294 u/L). His chest radiograph showed no acute cardiopulmonary process.The patient was admitted to our family medicine inpatient service with telemetry monitoring. Myocardial infarction was ruled out with serial cardiac enzymes. A dipyri...

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“…However, long-term patency of both arterial and vein grafts is still problematic and reimplantation is also associated with high occlusion rates [19]. Successful percutaneous treatment with stent implantation was also reported [20] but this method is not generally recommended due to unexplained pathophysiology of sudden death. The conservative approach should be individually considered for older asymptomatic patients with a negative stress test.…”

Section: Origin Of Coronary Artery From Contralateral Aortic Sinusmentioning

confidence: 99%

Coronary artery anomalies — a short review

Zemánek

Veselka

2007

Open Medicine

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AbstractCoronary artery anomalies are rare but sometimes important findings in the evaluation of the coronary artery. The majority of the anomalies are of benign prognosis, but others can be associated with cardiac symptoms and syndromes (angina, dyspnea, syncope, congestive heart failure, myocardial infarction and sudden death). The potentially serious anomalies include: ectopic coronary origin from the pulmonary artery; ectopic coronary origin from the opposite aortic sinus; and large coronary fistulae. Appropriate diagnosis is critical for recognition and management. Treatment can be performed by surgical or percutaneous approach. However, management is conservative in the majority of them. Contemporary diagnosis and clinical management of these anomalies are briefly reviewed and discussed in this article.

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Six-month success of intracoronary stenting for anomalous coronary arteries associated with myocardial ischemia

Cited by 56 publications

References 10 publications

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

Anomalous Coronary Artery Found in the Syncopal Workup of an Elderly Man

Coronary artery anomalies — a short review

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