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

• Published in: Journal of the American College of Cardiology Vol. 50; no. 21; pp. 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: Journal Article
• Language: English
• Published: United States Elsevier Inc 20.11.2007; Elsevier Limited
• 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; ARCA; MPS; SE; anomalous origin of left main coronary artery; exercise stress test; ALCA; EST; anomalous origin of right coronary artery; stress echocardiogram; AAOCA; anomalous aortic origin of a coronary artery with an interarterial course; myocardial perfusion scan
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2007.06.055

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.