Skip to main content

Congenital Coronary Artery Anomalies

  • Living reference work entry
  • First Online:
Pediatric Cardiology

Abstract

Coronary artery anomalies represent a small portion of all congenital heart disease. They can occur as isolated anomalies or in association with other types of congenital heart disease. Identifying these anomalies is critical for pediatric cardiologists and cardiovascular surgeons. In congenital heart disease, these anomalies may affect the surgical repair strategies. In patients without other congenital heart disease, these anomalies may be associated with sudden cardiac death or myocardial ischemia. This chapter evaluates different types of coronary anomalies and discusses surgical decision-making and management strategies. We will discuss anomalous aortic origin of the coronary arteries, anomalous origin of the coronary arteries from the pulmonary artery, coronary fistulas, and congenital coronary ostial stenosis or atresia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Similar content being viewed by others

References

  1. Spicer DE, Henderson DJ, Chaudhry B, Mohun TJ, Anderson RH. The anatomy and development of normal and abnormal coronary arteries. Cardiol Young. 2015;25:1493–503.

    Article  PubMed  Google Scholar 

  2. Muriago M, Sheppard MN, Ho SY, Anderson RH. Location of the coronary arterial orifices in the normal heart. Clin Anat. 1997;10:297–302.

    Article  CAS  PubMed  Google Scholar 

  3. Chiu IS, Anderson RH. Can we better understand the known variations in coronary arterial anatomy? Ann Thorac Surg. 2012;94:1751–60.

    Article  PubMed  Google Scholar 

  4. Koppel CJ, Jongbloed MRM, Kies P, Hazekamp MG, Mertens BJA, Schalij MJ, Vliegen HW. Coronary anomalies in tetralogy of Fallot – a meta-analysis. Int J Cardiol. 2020;306:78–85.

    Article  PubMed  Google Scholar 

  5. Stephens EH, Gupta D, Bleiweis M, Backer CL, Anderson RH, Spicer DE. Coronary arterial abnormalities in hypoplastic left heart syndrome: pathologic characteristics of archived specimens. Semin Thorac Cardiovasc Surg. 2020;32:531–8.

    Article  PubMed  Google Scholar 

  6. Ogden JA. Congenital anomalies of the coronary arteries. Am J Cardiol. 1970;25:474–9.

    Article  CAS  PubMed  Google Scholar 

  7. Debich DE, Williams KE, Anderson RH. Congenital atresia of the orifice of the left coronary artery and its main stem. Int J Cardiol. 1989;22:398–404.

    Article  CAS  PubMed  Google Scholar 

  8. Smith A, Arnold R, Anderson RH, Wilkinson JL, Qureshi SA, Gerlis LM, McKay R. Anomalous origin of the left coronary artery from the pulmonary trunk. Anatomic findings in relation to pathophysiology and surgical repair. J Thorac Cardiovasc Surg. 1989;98:16–24.

    Article  CAS  PubMed  Google Scholar 

  9. Angelini P, Trivellato M, Donis J, Leachman RD. Myocardial bridges: a review. Prog Cardiovasc Dis. 1983;26:75–88.

    Article  CAS  PubMed  Google Scholar 

  10. Joseph SC, D’Antoni AV, Tubbs RS, Gielecki J, Loukas M. Woven coronary arteries: a detailed review. Clin Anat. 2016;29:502–7.

    Article  PubMed  Google Scholar 

  11. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheter Cardiovasc Diagn. 1990;21:28–40.

    Article  CAS  Google Scholar 

  12. Adjedj J, Hyafil F, Halna du Fretay X, Dupouy P, Juliard JM, Ou P, Laissy JP, Muller O, Wijns W, Aubry P, Abnormal Coronary Origin Investigators. Physiological evaluation of anomalous aortic origin of a coronary artery using computed tomography-derived fractional flow reserve. J Am Heart Assoc. 2021;10:e018593.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Cheitlin MD, De Castro CM, McAllister HA. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva. A not-so-minor congenital anomaly. Circulation. 1974;50:780–7.

    Article  CAS  PubMed  Google Scholar 

  14. Maron BJ, Thompson PD, Ackerman MJ, Balady G, Berger S, Cohen D, Dimeff R, Douglas PS, Glover DW, Hutter AM Jr, Krauss MD, Maron MS, Mitten MJ, Roberts WO, Puffer JC, American Heart Association Council on Nutrition, Physical Activity, and Metabolism. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2007;115:1643–455.

    Article  PubMed  Google Scholar 

  15. Brothers JA, Frommelt MA, Jaquiss RDB, Myerburg RJ, Fraser CD Jr, Tweddell JS. Expert consensus guidelines: anomalous aortic origin of a coronary artery. J Thorac Cardiovasc Surg. 2017;153:1440–57.

    Article  PubMed  Google Scholar 

  16. Najm HK, Ahmad M. Transconal unroofing of anomalous left main coronary artery from right sinus with trans-septal course. Ann Thorac Surg. 2019;108:e383–6.

    Article  PubMed  Google Scholar 

  17. Jegatheeswaran A, Devlin PJ, McCrindle BW, Williams WG, Jacobs ML, Blackstone EH, DeCampli WM, Caldarone CA, Gaynor JW, Kirklin JK, Lorber RO, Mery CM, St Louis JD, Molossi S, Brothers JA. Features associated with myocardial ischemia in anomalous aortic origin of a coronary artery: a Congenital Heart Surgeons’ Society Study. J Thorac Cardiovasc Surg. 2019;158:822–834.e3.

    Article  PubMed  Google Scholar 

  18. Roberts WC, Kragel AH. Anomalous origin of either the right or left main coronary artery from the aorta without coursing of the anomalistically arising artery between aorta and pulmonary trunk. Am J Cardiol. 1988;62:1263–7.

    Article  CAS  PubMed  Google Scholar 

  19. Kaikkonen KS, Kortelainen ML, Linna E, Huikuri HV. Family history and the risk of sudden cardiac death as a manifestation of an acute coronary event. Circulation. 2006;114:1462–7.

    Article  PubMed  Google Scholar 

  20. Donaldson RM, Raphael MJ, Yacoub MH, Ross DN. Hemodynamically significant anomalies of the coronary arteries. Surgical aspects. Thorac Cardiovasc Surg. 1982;30:7–13.

    Article  CAS  PubMed  Google Scholar 

  21. Wang M, Wang L, Wu S, Zhou D, Wang X. Identification of key genes and prognostic value analysis in hepatocellular carcinoma by integrated bioinformatics analysis. Int J Genomics. 2019;2019:3518378.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Brothers JA, McBride MG, Seliem MA, Marino BS, Tomlinson RS, Pampaloni MH, Gaynor JW, Spray TL, Paridon SM. Evaluation of myocardial ischemia after surgical repair of anomalous aortic origin of a coronary artery in a series of pediatric patients. J Am Coll Cardiol. 2007;50:2078–82.

    Article  PubMed  Google Scholar 

  23. Cho SH, Joo HC, Yoo KJ, Youn YN. Anomalous origin of right coronary artery from left coronary sinus: surgical management and clinical result. Thorac Cardiovasc Surg. 2015;63:360–6.

    Article  PubMed  Google Scholar 

  24. Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, Colman JM, Crumb SR, Dearani JA, Fuller S, Gurvitz M, Khairy P, Landzberg MJ, Saidi A, Valente AM, Van Hare GF. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;139:e637–97.

    PubMed  Google Scholar 

  25. Angelini P, Uribe C, Monge J, Tobis JM, Elayda MA, Willerson JT. Origin of the right coronary artery from the opposite sinus of Valsalva in adults: characterization by intravascular ultrasonography at baseline and after stent angioplasty. Catheter Cardiovasc Interv. 2015;86:199–208.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Poynter JA, Bondarenko I, Austin EH, DeCampli WM, Jacobs JP, Ziemer G, Kirshbom PM, Tchervenkov CI, Karamlou T, Blackstone EH, Walters HL III, Gaynor JW, Mery CM, Pearl JM, Brothers JA, Caldarone CA, Williams WG, Jacobs ML, Mavroudis C, Congenital Heart Surgeons’ Society AAOCA Working Group. Repair of anomalous aortic origin of a coronary artery in 113 patients: a Congenital Heart Surgeons’ Society report. World J Pediatr Congenit Heart Surg. 2014;5:507–14.

    Article  PubMed  Google Scholar 

  27. Mustafa I, Gula G, Radley-Smith R, Durrer S, Yacoub M. Anomalous origin of the left coronary artery from the anterior aortic sinus: a potential cause of sudden death. Anatomic characterization and surgical treatment. J Thorac Cardiovasc Surg. 1981;82:297–300.

    Article  CAS  PubMed  Google Scholar 

  28. Law T, Dunne B, Stamp N, Ho KM, Andrews D. Surgical results and outcomes after reimplantation for the management of anomalous aortic origin of the right coronary artery. Ann Thorac Surg. 2016;102:192–8.

    Article  PubMed  Google Scholar 

  29. Mainwaring RD, Murphy DJ, Rogers IS, Chan FP, Petrossian E, Palmon M, Hanley FL. Surgical repair of 115 patients with anomalous aortic origin of a coronary artery from a single institution. World J Pediatr Congenit Heart Surg. 2016;7:353–9.

    Article  PubMed  Google Scholar 

  30. Najm HK, Karamlou T, Ahmad M, Hassan S, Salam Y, Majdalany D, Ghobrial J, Stewart RD, Unai S, Pettersson G. Early outcomes of transconal repair of transseptal anomalous left coronary artery from right sinus. Ann Thorac Surg. 2021;112:595–602.

    Article  PubMed  Google Scholar 

  31. Wittlieb-Weber CA, Paridon SM, Gaynor JW, Spray TL, Weber DR, Brothers JA. Medium-term outcome after anomalous aortic origin of a coronary artery repair in a pediatric cohort. J Thorac Cardiovasc Surg. 2014;147:1580–6.

    Article  PubMed  Google Scholar 

  32. Jegatheeswaran A, Devlin PJ, Williams WG, Brothers JA, Jacobs ML, DeCampli WM, Fleishman CE, Kirklin JK, Mertens L, Mery CM, Molossi S, Caldarone CA, Aghaei N, Lorber RO, McCrindle BW. Outcomes after anomalous aortic origin of a coronary artery repair: a Congenital Heart Surgeons’ Society Study. J Thorac Cardiovasc Surg. 2020;160:757–771.e5.

    Article  PubMed  Google Scholar 

  33. Kim SY, Seo JB, Do KH, Heo JN, Lee JS, Song JW, Choe YH, Kim TH, Yong HS, Choi SI, Song KS, Lim TH. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics. 2006;26:317–33. Discussion 333–4

    Article  PubMed  Google Scholar 

  34. Davis JA, Cecchin F, Jones TK, Portman MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol. 2001;37:593–7.

    Article  CAS  PubMed  Google Scholar 

  35. Ismail M, Jijeh A, Alhuwaymil RM, Alahmari R, Alshahrani R, Almutairi R, Habshan F, Shaath GA. Long-term outcome of the anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in children after cardiac surgery: a single-center experience. Cureus. 2020;12:e11829.

    PubMed  PubMed Central  Google Scholar 

  36. Bland EF, White PD, Garland J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J. 1933;8:787–801.

    Article  Google Scholar 

  37. Cowles RA, Berdon WE. Bland-White-Garland syndrome of anomalous left coronary artery arising from the pulmonary artery (ALCAPA): a historical review. Pediatr Radiol. 2007;37:890–5.

    Article  PubMed  Google Scholar 

  38. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, Daliento L. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29:689–95.

    Article  CAS  PubMed  Google Scholar 

  39. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992;20:640–7.

    Article  CAS  PubMed  Google Scholar 

  40. Pena E, Nguyen ET, Merchant N, Dennie C. ALCAPA syndrome: not just a pediatric disease. Radiographics. 2009;29:553–65.

    Article  PubMed  Google Scholar 

  41. Danov V, Kornovski V, Hazarbasanov D, Panayotov P. Anomalous origin of left circumflex coronary artery from the right pulmonary artery in adult. Thorac Cardiovasc Surg. 2009;57:114–5.

    Article  CAS  PubMed  Google Scholar 

  42. Cavalcanti LRP, Sa M, Escorel Neto AC, Salerno PR, Lima RC. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in adults: collateral circulation does not preclude direct reimplantation. J Card Surg. 2021;36:731–4.

    Article  PubMed  Google Scholar 

  43. Ghaderi F, Gholoobi A, Moeinipour A. Unique echocardiographic markers of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in the adult. Echocardiography. 2014;31:E13–5.

    Article  PubMed  Google Scholar 

  44. Boutsikou M, Shore D, Li W, Rubens M, Pijuan A, Gatzoulis MA, Babu-Narayan SV. Anomalous left coronary artery from the pulmonary artery (ALCAPA) diagnosed in adulthood: varied clinical presentation, therapeutic approach and outcome. Int J Cardiol. 2018;261:49–53.

    Article  CAS  PubMed  Google Scholar 

  45. Heermann P, Heindel W, Schulke C. Coronary artery anomalies: diagnosis and classification based on cardiac CT and MRI (CMR) – from ALCAPA to anomalies of termination. RoFo. 2017;189:29–38.

    PubMed  Google Scholar 

  46. Jurko A Jr, Mistinova Polakova J, Jurko A, Jurko T, Minarik M, Tonhajzerova I. Myocardial scarring after repair of anomalous origin of the left coronary artery from pulmonary artery. Neuro Endocrinol Lett. 2016;37:308–12.

    PubMed  Google Scholar 

  47. Saremi F, Goodman G, Wilcox A, Salibian R, Vorobiof G. Coronary artery ostial atresia: diagnosis of conotruncal anastomotic collateral rings using CT angiography. JACC Cardiovasc Imaging. 2011;4:1320–3.

    Article  PubMed  Google Scholar 

  48. Umana E, Massey CV, Painter JA. Myocardial ischemia secondary to a large coronary-pulmonary fistula – a case report. Angiology. 2002;53:353–7.

    Article  PubMed  Google Scholar 

  49. Zheng J, Ding W, Xiao Y, Jin M, Zhang G, Cheng P, Han L. Anomalous origin of the left coronary artery from the pulmonary artery in children: 15 years experience. Pediatr Cardiol. 2011;32:24–31.

    Article  PubMed  Google Scholar 

  50. Zhang HL, Li SJ, Wang X, Yan J, Hua ZD. Preoperative evaluation and midterm outcomes after the surgical correction of anomalous origin of the left coronary artery from the pulmonary artery in 50 infants and children. Chin Med J. 2017;130:2816–22.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Huang TY, Hsueh Y, Tsung SH. Endocardial fibroelastosis and myocardial calcification secondary to an anomalous right coronary artery arising from the pulmonary trunk. Hum Pathol. 1985;16:959–60.

    Article  CAS  PubMed  Google Scholar 

  52. Naimo PS, Fricke TA, d’Udekem Y, Cochrane AD, Bullock A, Robertson T, Brizard CP, Konstantinov IE. Surgical intervention for anomalous origin of left coronary artery from the pulmonary artery in children: a long-term follow-up. Ann Thorac Surg. 2016;101:1842–8.

    Article  PubMed  Google Scholar 

  53. Rodriguez-Gonzalez M, Tirado AM, Hosseinpour R, de Soto JS. Anomalous origin of the left coronary artery from the pulmonary artery: diagnoses and surgical results in 12 pediatric patients. Tex Heart Inst J. 2015;42:350–6.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Neumann A, Sarikouch S, Bobylev D, Meschenmoser L, Breymann T, Westhoff-Bleck M, Scheid M, Tzanavaros I, Bertram H, Beerbaum P, Haverich A, Boethig D, Horke A. Long-term results after repair of anomalous origin of left coronary artery from the pulmonary artery: Takeuchi repair versus coronary transfer. Eur J Cardiothorac Surg. 2017;51:308–15.

    PubMed  Google Scholar 

  55. Lange R, Cleuziou J, Krane M, Ewert P, Pabst von Ohain J, Beran E, Vitanova K. Long-term outcome after anomalous left coronary artery from the pulmonary artery repair: a 40-year single-centre experience. Eur J Cardiothorac Surg. 2018;53:732–9.

    Article  PubMed  Google Scholar 

  56. Brooks HS. Two cases of an abnormal coronary artery of the heart arising from the pulmonary artery: with some remarks upon the effect of this anomaly in producing cirsoid dilatation of the vessels. J Anat Physiol. 1885;20:26–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  57. Marik D, Gately HL, Strauss R, Starr A. Anomalous origin of right coronary artery from pulmonary artery. J Card Surg. 1995;10:55–8.

    Article  CAS  PubMed  Google Scholar 

  58. Shah RM, Nanda NC, Hsiung MC, Moos S, Roitman D. Identification of anomalous origin of the right coronary artery from pulmonary trunk by Doppler color flow mapping. Am J Cardiol. 1986;57:366–7.

    Article  CAS  PubMed  Google Scholar 

  59. Nakano M, Emoto H, Koyanagi K, Okuyama H, Saitoh F, Kurosawa H. Report of a case of the anomalous origin of the right coronary artery from the pulmonary artery with atrial fibrillation and bradycardia. Nihon Kyobu Geka Gakkai Zasshi. 1993;41:479–85.

    CAS  PubMed  Google Scholar 

  60. Guenther TM, Sherazee EA, Wisneski AD, Gustafson JD, Wozniak CJ, Raff GW. Anomalous origin of the right coronary artery from the pulmonary artery: a systematic review. Ann Thorac Surg. 2020;110:1063–71.

    Article  PubMed  Google Scholar 

  61. Levin DC, Fellows KE, Abrams HL. Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation. 1978;58:25–34.

    Article  CAS  PubMed  Google Scholar 

  62. Sandhu JS, Uretsky BF, Zerbe TR, Goldsmith AS, Reddy PS, Kormos RL, Griffith BP, Hardesty RL. Coronary artery fistula in the heart transplant patient. A potential complication of endomyocardial biopsy. Circulation. 1989;79:350–6.

    Article  CAS  PubMed  Google Scholar 

  63. Ercan E, Tengiz I, Yakut N, Gurbuz A, Bozdemir H, Bozdemir G. Takayasu’s arteritis with multiple fistulas from three coronary arteries to lung paranchima. Int J Cardiol. 2003;88:319–20.

    Article  PubMed  Google Scholar 

  64. Vavuranakis M, Bush CA, Boudoulas H. Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history. Cathet Cardiovasc Diagn. 1995;35:116–20.

    Article  CAS  PubMed  Google Scholar 

  65. Yildiz A, Okcun B, Peker T, Arslan C, Olcay A, Bulent Vatan M. Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography. Clin Cardiol. 2010;33:E60–4.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Urrutia SC, Falaschi G, Ott DA, Cooley DA. Surgical management of 56 patients with congenital coronary artery fistulas. Ann Thorac Surg. 1983;35:300–7.

    Article  Google Scholar 

  67. Okamura T, Nagashima M, Yamada Y, Hiramatsu T, Yamazaki K. Effective long-term surgical management of congenital coronary artery fistulas. Tohoku J Exp Med. 2011;223:205–9.

    Article  PubMed  Google Scholar 

  68. Lowe JE, Oldham HN Jr, Sabiston DC Jr. Surgical management of congenital coronary artery fistulas. Ann Surg. 1981;194:373–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Garcia-Rinaldi R, Von Koch L, Howell JF. Successful repair of a right coronary artery-coronary sinus fistula with associated left coronary arteriosclerosis. Bol Asoc Med P R. 1977;69:156–9.

    CAS  PubMed  Google Scholar 

  70. Haller JA Jr, Little JA. Diagnosis and surgical correction of congenital coronary artery-coronary sinus fistula. Circulation. 1963;27:939–42.

    Article  PubMed  Google Scholar 

  71. Biorck G, Crafoord C. Arteriovenous aneurysm on the pulmonary artery simulating patent ductus arteriosus botalli. Thorax. 1947;2:65–74.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Reidy JF, Sowton E, Ross DN. Transcatheter occlusion of coronary to bronchial anastomosis by detachable balloon combined with coronary angioplasty at same procedure. Br Heart J. 1983;49:284–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Ouchi K, Sakuma T, Ojiri H. Coronary artery fistula in adults: incidence and appearance on cardiac computed tomography and comparison of detectability and hemodynamic effects with those on transthoracic echocardiography. J Cardiol. 2020;76:593–600.

    Article  PubMed  Google Scholar 

  74. Rao SS, Agasthi P. Coronary artery fistula. Treasure Island: StatPearls; 2022.

    Google Scholar 

  75. Sapin P, Frantz E, Jain A, Nichols TC, Dehmer GJ. Coronary artery fistula: an abnormality affecting all age groups. Medicine. 1990;69:101–13.

    Article  CAS  PubMed  Google Scholar 

  76. Canga Y, Ozcan KS, Emre A, Kul S, Guvenc TS, Durmus G, Kirbas V, Ilhan E, Karatas MB, Oz D, Terzi S, Yesilcimen K. Coronary artery fistula: review of 54 cases from single center experience. Cardiol J. 2012;19:278–86.

    Article  PubMed  Google Scholar 

  77. Hobbs RE, Millit HD, Raghavan PV, Moodie DS, Sheldon WC. Coronary artery fistulae: a 10-year review. Cleve Clin Q. 1982;49:191–7.

    Article  CAS  PubMed  Google Scholar 

  78. Gowda ST, Latson L, Sivakumar K, Hiremath G, Crystal M, Law M, Shahanavaz S, Asnes J, Veeram Reddy S, Kobayashi D, Alwi M, Ichida F, Hirono K, Tahara M, Takeda A, Minami T, Kutty S, Nugent AW, Forbes T, Prieto LR, Qureshi AM. Anatomical classification and posttreatment remodeling characteristics to guide management and follow-up of neonates and infants with coronary artery fistula: a Multicenter study from the Coronary Artery Fistula Registry. Circ Cardiovasc Interv. 2021;14:e009750.

    Article  CAS  PubMed  Google Scholar 

  79. Liang CD, Ko SF, Huang CF, Huang SC. Echocardiographic evaluation of coronary artery fistula in pediatric patients. Pediatr Cardiol. 2005;26:745–50.

    Article  PubMed  Google Scholar 

  80. Lin FC, Chang HJ, Chern MS, Wen MS, Yeh SJ, Wu D. Multiplane transesophageal echocardiography in the diagnosis of congenital coronary artery fistula. Am Heart J. 1995;130:1236–44.

    Article  CAS  PubMed  Google Scholar 

  81. Juan CC, Hwang B, Lee PC, Meng CC. Diagnostic application of multidetector-row computed tomographic coronary angiography to assess coronary abnormalities in pediatric patients: comparison with invasive coronary angiography. Pediatr Neonatol. 2011;52:208–13.

    Article  PubMed  Google Scholar 

  82. Chen J, Yang ZG. Assessment of a left circumflex coronary artery-left ventricle fistula by multimodality imaging in a child. Cardiol Young. 2017;27:570–2.

    Article  PubMed  Google Scholar 

  83. Wang NK, Hsieh LY, Shen CT, Lin YM. Coronary arteriovenous fistula in pediatric patients: a 17-year institutional experience. J Formos Med Assoc. 2002;101:177–82.

    PubMed  Google Scholar 

  84. Skimming JW, Gessner IH, Victorica BE, Mickle JP. Percutaneous transcatheter occlusion of coronary artery fistulas using detachable balloons. Pediatr Cardiol. 1995;16:38–41.

    Article  CAS  PubMed  Google Scholar 

  85. May CH, Johnston DR, Jaber WA, Pettersson GB. A novel approach to the aneurysmal coronary artery fistula. J Thorac Cardiovasc Surg. 2012;144:265–7.

    Article  PubMed  Google Scholar 

  86. Zhang W, Hu R, Zhang L, Zhu H, Zhang H. Outcomes of surgical repair of pediatric coronary artery fistulas. J Thorac Cardiovasc Surg. 2016;152:1123–1130.e1.

    Article  PubMed  Google Scholar 

  87. Said SM, Burkhart HM, Schaff HV, Connolly HM, Phillips SD, Suri RM, Eidem B, Rihal CS, Dearani JA. Late outcome of repair of congenital coronary artery fistulas – a word of caution. J Thorac Cardiovasc Surg. 2013;145:455–60.

    Article  PubMed  Google Scholar 

  88. Wein CE, Weinberg PM, Guleserian KJ. Congenital absence of coronary ostia in a single/common coronary system. Cardiol Young. 2019;29:993–5.

    Article  PubMed  Google Scholar 

  89. Angelini P. Congenital coronary artery ostial disease: a spectrum of anatomic variants with different pathophysiologies and prognoses. Tex Heart Inst J. 2012;39:55–9.

    PubMed  PubMed Central  Google Scholar 

  90. Saito T, Motohashi M, Matsushima S, Saito N, Kubota T, Tasai K, Asajima H. Left main coronary artery atresia diagnosed by multidetector computed tomography. Int J Cardiol. 2009;135:e27–9.

    Article  PubMed  Google Scholar 

  91. Musiani A, Cernigliaro C, Sansa M, Maselli D, De Gasperis C. Left main coronary artery atresia: literature review and therapeutical considerations. Eur J Cardiothorac Surg. 1997;11:505–14.

    Article  CAS  PubMed  Google Scholar 

  92. Kaczorowski DJ, Sathanandam S, Ravishankar C, Gillespie MJ, Montenegro LM, Gruber PJ, Spray TL, Gaynor JW, Lin KY. Coronary ostioplasty for congenital atresia of the left main coronary artery ostium. Ann Thorac Surg. 2012;94:1307–10.

    Article  PubMed  Google Scholar 

  93. Alsalehi M, Jeewa A, Wan A, Contreras J, Yoo SJ, Laks JA. A case series of left main coronary artery ostial atresia and a review of the literature. Congenit Heart Dis. 2019;14:901–23.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tara Karamlou .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Karamlou, T., Alsaied, T., Najm, H.K. (2023). Congenital Coronary Artery Anomalies. In: Abdulla, Ri., et al. Pediatric Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-42937-9_111-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-42937-9_111-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42937-9

  • Online ISBN: 978-3-030-42937-9

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics