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Abnormal Number of Coronary Ostia

Abnormal Origin or Aberrant Course of Coronary Artery


Presentation

  • This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures-including the latest alternate and minimally invasive surgical techniques-and presents the up-to-date clinical evidence you need[books.google.com]
  • Case presentation A 53-year-old woman, previously fit and well, presented with a history of exertional chest discomfort radiating to left breast and left arm, with risk factors for coronary artery disease (hypertension and smoking). Figure 2.[bjcardio.co.uk]
  • Most symptomatic patients present at a young age. The coronary artery may pass between the aorta and the main pulmonary artery, representing a so-called interarterial course.[radiopaedia.org]
  • In the present case the right and left coronary arteries originated from the left posterior aortic sinus as a rare variation.[pulsus.com]
  • Others can present with chest pain, syncope, or sudden cardiac death.[oatext.com]
Coronary Artery Disease
  • Artery Disease Syndromes 597 The Electrocardiogram in Coronary Artery Disease 204 Echocardiographic Evaluation of Coronary Artery Disease 217 Myocardial Perfusion Imaging Utilizing Single Photon Emission Computed Tomography Techniques 253 Clinical Cardiac[books.google.com]
  • Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve[books.google.com]
  • Seite 129 - Three-dimensional black-blood cardiac magnetic resonance coronary vessel wall imaging detects positive arterial remodeling in patients with nonsignificant coronary artery disease. Circulation... ‎[books.google.de]
  • -Coronary angiography still corner stone in diagnosis of coronary artery disease, but nowadays with advances in CT angiography and cardiac MRI help to complete the diagnosis and management with clear anatomy.[oatext.com]
Congestive Heart Failure
  • Most patients in whom the origin of the left coronary artery (LCA) is the main pulmonary artery manifest congestive heart failure and myocardial ischaemia in the first four months of life. 2 This coronary anomaly is rarely seen in adults.[ecrjournal.com]
  • Myocardial ischemia, ventricular fibrillation, syncope, congestive heart failure and sudden cardiac death are associated with this anomaly.[cathlabdigest.com]
  • Usual presentation with; Sudden death Congestive heart failure Angina pectoris Myocardial infarction All Coronary Arteries from Pulmonary Artery Both right and left coronary arteries, or a single coronary artery, may come from the pulmonary trunk.[wikidoc.org]
Surgical Procedure
  • Master cardiac surgery with the Gold Standard for Cardiac Surgery - the most definitive and clinically comprehensive resource on cardiologic procedures including latest alternate and minimally invasive surgical procedures[books.google.com]
  • Therefore, when patients are identified as having this anomaly, aggressive surgical management is often recommended.14 There are currently two surgical procedures for the correction of this anomaly: re-implantation and coronary artery bypass grafting[cathlabdigest.com]
Weight Gain
  • ASCAPA is described in case reports, rarely with good surgical outcome. 1 Survival correlates with early diagnosis, heralded by symptoms of myocardial ischemia including poor feeding and weight gain.[anesthesiology.pubs.asahq.org]
Heart Disease
  • Access new and updated guidelines covering Diseases of the Aorta, Peripheral Artery Diseases, Diabetes and the Cardiovascular System, Heart Failure, and Valvular Heart Disease.[books.google.com]
  • Atherosclerotic Plaques 409 Medical Treatment of Stable Angina 421 Medical Treatment of Unstable Angina and Acute NonSTElevation Myocardial Infarction 461 Treatment of Acute STElevation Myocardial Infarction 505 Medical Treatment of Heart Failure and Coronary Heart[books.google.com]
  • Ischemic heart disease is the leading cause of morbidity and mortality in the developed world. The high metabolism and oxygen demand of the cardiac myocardium depends on both a high blood flow and a rich capillary density.[books.google.com]
  • […] and Garrett L Walsh 222 RoboticAssisted Pulmonary Resections 108 231 Thoracic Outlet Procedures 242 Chest Wall Resections 253 Chapter 41 Reoperative Cardiac SurgeryGeneral 253 The Diaphragm 260 Mara B Antonoff and Jonathan DCunha B Acquired Valvular Heart[books.google.com]
  • Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve[books.google.com]
Heart Failure
  • Failure and Coronary Heart Disease 533 Surgical Treatment of Advanced Heart Failure 561 Kawasaki Disease 580 Percutaneous Coronary Intervention and the Various Coronary Artery Disease Syndromes 597 The Electrocardiogram in Coronary Artery Disease 204[books.google.com]
  • Access new and updated guidelines covering Diseases of the Aorta, Peripheral Artery Diseases, Diabetes and the Cardiovascular System, Heart Failure, and Valvular Heart Disease.[books.google.com]
  • failure and transplantation; disease of the thoracic aorta; tetralogy of Fallot; anesthesia; and postoperative care.[books.google.com]
  • Artery These patients may present with ischaemic symptoms or symptoms of heart failure from an ischaemic cardiomyopathy in infancy.[ecrjournal.com]
  • Failure Unexpected Chest Pain Presentation In Unusual age SCD 22.[slideshare.net]
Neglect
  • The interest in cardiovascular pathology, neglected for years in many countries, is increasing worldwide and we are witnessing the revitalization of a discipline, which, in collaboration with clinicians, is making great contributions to the fight against[books.google.es]
  • The aim of this report is to revise this important but often neglected topic, its clinical implications, and to discuss a rare case that was recently encountered in our hospital.[bjcardio.co.uk]

Treatment

  • Evaluation of Vulnerable Atherosclerotic Plaques 409 Medical Treatment of Stable Angina 421 Medical Treatment of Unstable Angina and Acute NonSTElevation Myocardial Infarction 461 Treatment of Acute STElevation Myocardial Infarction 505 Medical Treatment[books.google.com]
  • PubMed Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of kera... Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol. 2003 May;135(5):620-7.[ncbi.nlm.nih.gov]
  • […] and prognosis Treatment of anomalous coronary arteries is controversial.[radiopaedia.org]
  • If diagnosed antemortem, surgery is the treatment of choice in most cases Takeuchi procedure: used to correct the infantile form of anomalous origin of coronaries by creating a communication between the aorta and the left coronary ostium through the[pathologyoutlines.com]
  • Surgical treatment of coronary artery anomalies: report of a 37 ½-year experience at the Texas Heart Institute. Tex Heart Inst J 2002; 29 :299–307. Available from Further reading Pollock BD, Belkin RN, Lazar S, Pucillo A, Cohen MB, Weiss MB.[bjcardio.co.uk]

Prognosis

  • PMID: 16118540 See all (1) Prognosis Cardiovascular magnetic resonance of anomalous coronary arteries. Varghese A, Keegan J, Pennell DJ Coron Artery Dis 2005 Sep;16(6):355-64.[ncbi.nlm.nih.gov]
  • […] opposite sinus 4,5 : malignant course interarterial (i.e. between the aorta and the pulmonary artery): this is the most dangerous as it carries a high risk of sudden cardiac death benign course retroaortic prepulmonic septal (subpulmonic) Treatment and prognosis[radiopaedia.org]
  • Due to the severity of this patient’s anomaly, the best surgical decision, with the best prognosis, is CABG.[cathlabdigest.com]
  • In addition, the region of myocardium normally supplied by the involved coronary artery may have diminished flow, creating a hemodynamic steal phenomenon, and can lead to myocardial ischemia. 36 Knowledge of coronary fistulas is important for prognosis[appliedradiology.com]
  • ., et al. (1996) Clinical features of prognosis of Japanese patients with anomalous origin of the coronary artery. Jpn. Circ. J. 60:731-741. Karcz, R., Kohmann, A. and S.[anatomyatlases.org]

Etiology

  • Information Search database Search term Limits Advanced Help Full Report Format Full Report Summary (Text) Summary (XML) Send to: Choose Destination File Clipboard Collections MedGen UID: 833385 • Concept ID: CN229303 • Finding Orphanet: ORPHA99089 Etiology[ncbi.nlm.nih.gov]
  • […] pressure by maintaining PVR and myocardial contractility. 3 A ductus arteriosus maintained with prostaglandin may be the only supply of oxygenated blood to the coronaries. 1 The baby depicted in these images had elevated pulmonary pressures of unclear etiology[anesthesiology.pubs.asahq.org]
  • Clefts have a complex etiology and likely result from an interaction between environmental and genetic factors as well [ 43 ].[omicsonline.org]
  • These anomalies have different clinical and anatomical presentations that still need more studies to know the prevalence, etiology or risk factors and how to screen for such anomalies.[oatext.com]

Epidemiology

  • "rarely" encountered in the general population Epidemiology Coronary anomalies affect 1% of the general population Necropsies yield an even lower incidence (0.3%) According to the Sudden Death Committee of the American Heart Association, coronary anomalies[pathologyoutlines.com]
  • Kardos A, Babai L, Rudas L et al: Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Cathet Cardiovasc Diagn. 1997 Nov;42(3): 270-275. 7.[ispub.com]
  • Epidemiologic studies suggest that genetic factors are the predominant cause of congenital heart disease (CHD) although environmental exposures are also relevant.[omicsonline.org]
  • ., Talosi, L. et al. (1997) Epidemiology of congenital coronary artery anomalies: A coronary arteriography study on a central European population. Cathet. Cardiovasc. Diagn. 42:270-275.[anatomyatlases.org]
Sex distribution
Age distribution

Pathophysiology

  • Techniques 253 Clinical Cardiac Positron Emission Tomography 263 Magnetic Resonance Imaging of the Myocardium Coronary Arteries and Anomalous Origin of Coronary Arteries 283 Computed Tomograph Cardiovascular Imaging 338 Coronary Heart Disease Syndromes Pathophysiology[books.google.com]
  • […] of deaths in athletes ( Circulation 1996;94:850 ) Burke et. al. reported that in 14 to 40 year olds, coronary anomalies are involved in 12% of sports related sudden cardiac deaths versus 1.2% of non sports related deaths ( Am Heart J 1991;121:568 ) Pathophysiology[pathologyoutlines.com]
  • Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002; 105 :2449–54. 3. Michael H. Congenital anomalies of the coronary arteries. Heart 2005; 91 :1240–5. 4. Dollar AL, Roberts WC.[bjcardio.co.uk]
  • Pathophysiology Advances in imaging have improved detection and classification of this heterogeneous group of disorders.[www2.ccasociety.org]
  • Cohen P, O’Gara PT (2008) Coronary artery aneurysms: a review of natural history, pathophysiology and management. Cardiol Rev 16:301–304 PubMed CrossRef Google Scholar 12.[link.springer.com]

Prevention

  • Coronary Artery Disease 657 Coronary Artery Bypass Surgery and Percutaneous Coronary Revascularization Impact on Morbidity and Mortality in Patients with Coronary Artery ... 683 Cardiovascular Genetics Focus on Genetics of Coronary Artery Disease 727 Preventive[books.google.com]
  • Preventing heart disease is the key. Doctors are also studying innovative ways to treat heart disease, including: Angiogenesis.[webmd.com]
  • Surgical repair of the coronary anomaly may be considered as the best way to prevent a future fatal cardiac event. Correspondence to Gavrielatos Gerasimos, M.D.[ispub.com]
  • These coronary anomalies can be detected in early stages of life, by developing the markers for identification and simultaneous surgery for the anomaly may be the best way to prevent sudden death [ 11 ]. References Datta AK.[pulsus.com]
  • Genisca AE, Frías JL, Broussard CS, Honein MA, Lammer EJ, et al. (2009) Orofacial clefts in the National Birth Defects Prevention Study, 1997-2004. Am J Med Genet A 149A: 1149-1158.[omicsonline.org]

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