Diferencia entre revisiones de «Anomalous coronary arteries»

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==Background==
==Background==
*Coronary arteries arise from the truncus arteriosus as endothelial buds, during this process abnormal involution, bud positioning, or septation of the truncus arteriosus may lead to abnormal origin of the coronary arteries
*Coronary arteries arise from the truncus arteriosus as endothelial buds, during this process abnormal involution, bud positioning, or septation of the truncus arteriosus may lead to abnormal origin of the coronary arteries
*Types
**Left circumflex from right sinus of valsalva
**Single coronary artery from the left sinus of valsalva
**Both coronary arteries from the right sinus of valsalva
**LAD from the right sinus of valsalva
*Symptoms occur due to the path that these arteries take to supply the heart, some coursing between the aorta and pulmonary arteries which results in compression, or taking abrupt turns causing acute angles that are predisposed to obstruction
*Symptoms occur due to the path that these arteries take to supply the heart, some coursing between the aorta and pulmonary arteries which results in compression, or taking abrupt turns causing acute angles that are predisposed to obstruction
*Incidence is 0.64% of births
*Incidence is 0.64% of births
===Types===
*Left circumflex from right sinus of valsalva
*Single coronary artery from the left sinus of valsalva
*Both coronary arteries from the right sinus of valsalva
*LAD from the right sinus of valsalva


==Clinical Features==
==Clinical Features==
Línea 45: Línea 46:
==Disposition==
==Disposition==
*Cardiology consult
*Cardiology consult
==See Also==
==External Links==


==References==
==References==
<references/>
<references/>
Koenig, P R, & Hijazi, Z. (2016). Congenital and pediatric coronary artery abnormalities.  In G. M. Saperia (Ed.), UpToDate. Retrieved August 13, 2018, from https://www.uptodate.com/contents/congenital-and-pediatric-coronary-artery-abnormalities
Koenig, P R, & Hijazi, Z. (2016). Congenital and pediatric coronary artery abnormalities.  In G. M. Saperia (Ed.), UpToDate. Retrieved August 13, 2018, from https://www.uptodate.com/contents/congenital-and-pediatric-coronary-artery-abnormalities
[[Category: Cardiology]]
[[Category: Cardiology]]
[[Category: Pediatrics]]
[[Category: Pediatrics]]

Revisión del 11:20 14 may 2022

Background

  • Coronary arteries arise from the truncus arteriosus as endothelial buds, during this process abnormal involution, bud positioning, or septation of the truncus arteriosus may lead to abnormal origin of the coronary arteries
  • Symptoms occur due to the path that these arteries take to supply the heart, some coursing between the aorta and pulmonary arteries which results in compression, or taking abrupt turns causing acute angles that are predisposed to obstruction
  • Incidence is 0.64% of births

Types

  • Left circumflex from right sinus of valsalva
  • Single coronary artery from the left sinus of valsalva
  • Both coronary arteries from the right sinus of valsalva
  • LAD from the right sinus of valsalva

Clinical Features

  • Anginal chest pain
  • Syncope
  • Sudden death
    • In one study accounted for 13% of cases of sudden death in competitive athletes [1]

Differential Diagnosis

Evaluation

Management

  • Definitive treatment is surgery

Disposition

  • Cardiology consult

See Also

External Links

References

  1. ↑ Relationship of race to sudden cardiac death in competitive athletes with hypertrophic cardiomyopathy. AU Maron BJ, Carney KP, Lever HM, Lewis JF, Barac I, Casey SA, Sherrid MV SO. J Am Coll Cardiol. 2003;41(6):974

Koenig, P R, & Hijazi, Z. (2016). Congenital and pediatric coronary artery abnormalities. In G. M. Saperia (Ed.), UpToDate. Retrieved August 13, 2018, from https://www.uptodate.com/contents/congenital-and-pediatric-coronary-artery-abnormalities

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