Evaluation of Myocardial Ischemia After Surgical Repair of Anomalous Aortic Origin of a Coronary Artery in a Series of Pediatric Patients

Evaluation of Myocardial Ischemia After Surgical Repair of Anomalous Aortic Origin of a Coronary Artery in a Series of Pediatric Patients Julie A. Brothers, Michael G. McBride, Mohamed A. Seliem, Bradley S. Marino, Ryan S. Tomlinson, Miguel H. Pampaloni, J. William Gaynor, Thomas L. Spray, Stephen M...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2007-11, Vol.50 (21), p.2078-2082
Main Authors: Brothers, Julie A., MD, McBride, Michael G., PhD, Seliem, Mohamed A., MD, FACC, Marino, Bradley S., MD, MPP, MSCE, FACC, Tomlinson, Ryan S., BSE, Pampaloni, Miguel H., MD, PhD, Gaynor, J. William, MD, Spray, Thomas L., MD, FACC, Paridon, Stephen M., MD, FACC
Format: Article
Language:English
Subjects:
Adolescent
Blood pressure
Cardiology
Cardiovascular
Child
Child, Preschool
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - surgery
Coronary vessels
Coronary Vessels - surgery
Defects
Echocardiography, Stress
Exercise Test
Female
Fitness equipment
Heart attacks
Hospitals
Humans
Internal Medicine
Ischemia
Male
Myocardial Ischemia - diagnosis
Myocardial Ischemia - etiology
Pain
Risk assessment
Surgery
Treatment Outcome
Ultrasonic imaging
Vascular Surgical Procedures - adverse effects
Veins & arteries
Young adults
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Summary:Evaluation of Myocardial Ischemia After Surgical Repair of Anomalous Aortic Origin of a Coronary Artery in a Series of Pediatric Patients Julie A. Brothers, Michael G. McBride, Mohamed A. Seliem, Bradley S. Marino, Ryan S. Tomlinson, Miguel H. Pampaloni, J. William Gaynor, Thomas L. Spray, Stephen M. Paridon Anomalous aortic origin of a coronary artery that courses between the great vessels is a rare anomaly associated with increased myocardial ischemia and sudden death risk in children. We prospectively assessed children with exercise stress test, stress echocardiogram, and stress myocardial perfusion scan. One anomalous origin of left main coronary artery patient and 8 anomalous right coronary (ARCA) patients had positive ischemia evaluations. Subclinical changes suggestive of ischemia might occur despite patent neo-coronary ostia, notably after ARCA repair.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2007.06.055