作者
Tam T Doan, Shagun Sachdeva, Carlos Bonilla-Ramirez, Dana L Reaves-O’Neal, Prakash Masand, Carlos M Mery, Ziyad Binsalamah, Jeffrey H Heinle, Silvana Molossi
发表日期
2023/4
期刊
Circulation: Cardiovascular Interventions
卷号
16
期号
4
页码范围
e012631
出版商
Lippincott Williams & Wilkins
简介
Background
Anomalous aortic origin of a right coronary artery may cause myocardial ischemia and sudden death in the young. Data on myocardial ischemia or longitudinal outcomes are sparse in pediatric anomalous aortic origin of a right coronary artery population.
Methods
Patients <21 years with anomalous aortic origin of a right coronary artery were prospectively enrolled. Computerized tomography angiography defined morphology. Exercise stress test and stress perfusion imaging (sPI) were performed if >7 years or younger with concern for ischemia. High-risk features included intramural length, slit-like/hypoplastic ostium, exertional symptoms, or evidence of ischemia.
Results
A total of 220 patients (60% males) were enrolled December 2012 to April 2020 at a median age 11.4 years (interquartile range, 6.1–14.5), including 168 (76%) with no/nonexertional symptoms (group 1) and 52 (24%) with exertional …
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TT Doan, S Sachdeva, C Bonilla-Ramirez… - Circulation: Cardiovascular Interventions, 2023