Congenital and acquired coronary artery anomalies in newborns, infants, children, and young adults

Ali Dodge-Khatami, Constantine Mavroudis, Carl L. Backer

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The incidence of coronary anomalies in the general population is 0.2 % to 1.2 %. In this chapter, the comprehensive nomenclature classification of the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Nomenclature and Database Project will be used. Coronary artery anomalies may be congenital or acquired and are associated with significant morbidity and mortality. The spectrum of congenital lesions includes anomalous pulmonary origins of the coronary arteries, anomalous aortic origins of the coronary arteries, single coronary artery, congenital atresia of the left main coronary, coronary artery fistulas, and intramyocardial courses. Acquired anomalies include coronary artery aneurysms, late postoperative obstructions in patients who had coronary artery surgical manipulations, and iatrogenic injuries that can occur in the catheterization laboratory or in the operating room. In this chapter, the anomalies described are those in hearts with concordant atrioventricular and ventriculoarterial connections. Coronary variations in complex congenital heart diseases are not encompassed, nor are coronary artery lesions that are associated with initial operations for arterial switch, tetralogy of Fallot repair, and the various types of Norwood operations.

Original languageEnglish (US)
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PublisherSpringer-Verlag London Ltd
Pages2019-2042
Number of pages24
ISBN (Electronic)9781447146193
ISBN (Print)9781447146186
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Keywords

  • Anomalous
  • Aortic origins
  • Congenital atresia
  • Coronary arteries
  • Coronary arteriovenous fistulas
  • Intramyocardial course
  • Left main coronary artery
  • Pulmonary origins
  • Single coronary artery
  • Surgical management

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dodge-Khatami, A., Mavroudis, C., & Backer, C. L. (2014). Congenital and acquired coronary artery anomalies in newborns, infants, children, and young adults. In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care (pp. 2019-2042). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-4471-4619-3_50