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Endocardial Coronary Artery: A Rare Congenital Coronary Anomaly

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Abstract

Pediatric chest pain is a common reason for cardiology referral, and evaluation of exertional chest pain requires proper delineation of coronary anatomy. Congenital coronary anomalies are rare and often benign. However, certain anomalies such as intramural coronary arteries and myocardial bridges have been associated with angina, ventricular arrhythmias, and sudden cardiac death. We present a case of a 10-year-old male with exertional chest pain whose coronary anatomy could not be defined by echocardiography and further evaluation by computed tomography angiography revealed a rare congenital coronary anomaly.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Cincinnati Children’s Hospital, 3333 Burnet Avenue, MLC 2003, Cincinnati, OH, 45229-3026, USA

    Jeremy Mark Steele

  2. Department of Pediatric Cardiology, Cleveland Clinic Children’s, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    Kenneth G. Zahka

Authors
  1. Jeremy Mark Steele
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  2. Kenneth G. Zahka
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Correspondence to Jeremy Mark Steele.

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Dr Jeremy Steele and Dr Kenneth Zahka declare that there are no conflicts of interest.

Research Involving Human and Animal Participants

This article does not contain any studies with human participants or animals performed by any of the authors.

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Steele, J.M., Zahka, K.G. Endocardial Coronary Artery: A Rare Congenital Coronary Anomaly. Pediatr Cardiol 40, 219–220 (2019). https://doi.org/10.1007/s00246-018-1993-6

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  • DOI: https://doi.org/10.1007/s00246-018-1993-6

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