Surgical therapy for anomalous aortic origin of the coronary arteries

Jaggers, James; Lodge, Andrew J.

doi:10.1053/j.pcsu.2005.01.004

Cited by 43 publications

(40 citation statements)

References 23 publications

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“…Others suggest elective surgical repair at less than 30 years of age. If surgical repair is declined, avoidance of strenuous physical activity and competitive athletics should be prescribed [1].…”

Section: Surgical Therapymentioning

confidence: 99%

“…Coronary artery bypass grafting may be an acceptable therapy in an elderly patient with co-existent CAD, but commits the patient to grafted CAD and its associated risks. Patients treated with coronary artery bypass graft require long-term follow-up like any patient with CAD post-revascularization [1].…”

Section: Surgical Therapymentioning

confidence: 99%

“…The incidence is between 0.6% and 1.3% of the population [1]. Anomalous coronary arteries are classified into seven categories according to the Society of Thoracic Surgeons [2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anomalous interarterial left coronary artery: An evidence based systematic overview

Moustafa

Zehr

Mookadam

et al. 2008

International Journal of Cardiology

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Section: Surgical Therapymentioning

confidence: 99%

Section: Surgical Therapymentioning

confidence: 99%

See 1 more Smart Citation

Anomalous interarterial left coronary artery: An evidence based systematic overview

Moustafa

Zehr

Mookadam

et al. 2008

International Journal of Cardiology

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“…In this entity, an unusually high origin of the anomalous right coronary artery (at or slightly above the sinotubular junction) is common. When the origin is high, takedown of the intercoronary commissure during an unroofing procedure is usually not necessary; thus this identification is surgically important [50]. Identifying the origin in relation to the sinotubular junction is best accomplished in the parasternal long-axis view or in a longaxis transesophageal echocardiographic view (Fig.…”

Section: Imagingmentioning

confidence: 99%

Congenital Anomalies of the Coronary Arteries

Herlong

2009

Echocardiography in Pediatric and Congenital Heart Disease

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The term coronary derives from the Latin root coronarius, which means crown. Indeed, the coronary arteries sit on the heart as a crown, and they are the "crowning subject" of adult cardiology due to the prevalence of acquired coronary artery disease. Although less of a preeminent subject in pediatric cardiology, coronary artery anomalies, with and without concomitant structural congenital heart disease, are an important topic for the pediatric cardiologist. This chapter reviews echocardiography of congenital coronary artery anomalies of importance to the pediatric cardiologist. Material pertinent to all congenital coronary artery anomalies is presented first, followed by material particular to each important anomaly. Developmental considerationsBefore the development of the coronary arteries, the loosely packed myocardium of the embryonic heart is nourished by sinusoids throughout the heart cavities. As the myocardium becomes more compact, veins, arteries and capillaries develop from these primitive sinusoids. Then, at around 32 days of gestation, subepicardial vascular networks develop; shortly thereafter, endothelial buds appear at the base of the truncus arteriosus. These two anlagen join to one another by around 45 days of gestation, and the definitive coronary arterial circulation is thus established.Controversy exists regarding the number of endothelial buds present at the base of the truncus arteriosus and the manner in which the two coronary anlagen (subepicardial vascular networks and endothelial buds) connect with one another. Abrikossoff originally described two endothelial buds that were "allotted" to the aorta by division of the truncus into aorta and pulmonary artery [1]. Hackensellner later suggested that there are endothelial buds in each of the six sinuses of Valsalva of the great arteries and that all but two of these ultimately involute [2]. The latter theory has better withstood subsequent investigation [3], but either theory may readily explain the multitude of coronary artery anomalies that exist. The method of involution and induction of the appropriate sinuses of Valsalva remains speculative [4]. Normal coronary anatomyThere are normally two major coronary arteries, which originate from the right and left aortic sinuses of Valsalva. These sinuses are small outpouchings of the aorta between the sinotubular junction and the aortic valve leaflets. There are normally three such sinuses; the third, or posterior, sinus of Valsalva, is usually devoid of a coronary artery orifice. It is thus called the noncoronary sinus of Valsalva. The left coronary arteryThe left main coronary artery arises from the left sinus of Valsalva and courses only a short distance (<4 cm in the adult) before dividing into the left circumflex and left anterior descending coronary arteries (Fig. 29.1). The left circumflex coronary artery varies considerably in size depending on whether the posterior descending coronary artery is a branch of the right coronary artery (right-dominant coronary system) or a branch of the circu...

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“…"unroofing" des intramural verlaufenden Segmentes, das aus der Aortenwand freipräpariert wird, alternativ kann am Ende des intramuralen Kanals ein Neoostium geschaffen werden, um so die Verbindung des proximalen Segmentes zum richtigen Sinus Valsalva wiederherzustellen. Für beide Verfahren liegen gute Daten vor [15,16,17]. Die klassische Bypassoperation mit LIMA-oder RIMAGrafts scheint wenig Erfolg versprechend zu sein [18].…”

Section: Therapieunclassified

Junger Sportler mit rezidivierenden thorakalen Schmerzen und Synkopen während sportlicher Belastung

Rolf

Dill

2008

Kardiologe

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Surgical therapy for anomalous aortic origin of the coronary arteries

Cited by 43 publications

References 23 publications

Anomalous interarterial left coronary artery: An evidence based systematic overview

Anomalous interarterial left coronary artery: An evidence based systematic overview

Congenital Anomalies of the Coronary Arteries

Junger Sportler mit rezidivierenden thorakalen Schmerzen und Synkopen während sportlicher Belastung

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