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Acquired coronary disease in children: the role of multimodality imaging

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Abstract

Coronary sequelae of Kawasaki disease, post-surgical coronary lesions and cardiac allograft vasculopathy are the main causes of acquired coronary pathology in childhood. Surveillance and timely recognition of coronary problems in children who are at risk of ischemic events are imperative and noninvasive imaging is increasingly utilized for these purposes. Herein, we summarize the causes of acquired coronary disease in children and discuss the role of various imaging techniques that are available to establish the diagnosis and guide management.

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Abbreviations

ALCAPA:

Anomalous left coronary artery from pulmonary artery

CMRI:

Cardiac magnetic resonance imaging

CCT:

Cardiac computed tomography

IVUS:

Intravascular ultrasound

PET:

Positron emission tomography

SSFP:

Steady state free precession

TGA:

Transposition of the great arteries

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Author information

Authors and Affiliations

  1. Service de Radiologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, University Paris-Descartes, 149 rue de Sèvres, 75743, Paris Cedex 15, France

    Phalla Ou

  2. Laboratoire MAP5 – UMR 8145, University Paris-Descartes, Paris, France

    Phalla Ou

  3. Joint Division of Pediatric Cardiology, University of Nebraska College of Medicine/Creighton University, Children’s Hospital and Medical Center, Omaha, NE, USA

    Shelby Kutty

  4. Centre de Référence des Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, AP-HP, University Paris-Descartes, Paris, France

    Diala Khraiche, Daniel Sidi & Damien Bonnet

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  1. Phalla Ou
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  2. Shelby Kutty
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  3. Diala Khraiche
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  4. Daniel Sidi
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  5. Damien Bonnet
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Correspondence to Phalla Ou.

Electronic supplementary material

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2D-echocardiography in a 9-month-old child who had Kawasaki disease at the age of 6 weeks. There are patent motion abnormalities in the three apical views and parasternal short axis view at the level of papillary muscles (MPEG 430 kb)

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Ou, P., Kutty, S., Khraiche, D. et al. Acquired coronary disease in children: the role of multimodality imaging. Pediatr Radiol 43, 444–453 (2013). https://doi.org/10.1007/s00247-012-2478-z

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  • DOI: https://doi.org/10.1007/s00247-012-2478-z

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