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Congenital and Acquired Coronary Artery Anomalies in Newborns, Infants, Children, and Young Adults

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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

Abstract

The incidence of coronary anomalies in the general population is 0.2 % to 1.2 %. In this chapter, the comprehensive nomenclature classification of the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Nomenclature and Database Project will be used.

Coronary artery anomalies may be congenital or acquired and are associated with significant morbidity and mortality. The spectrum of congenital lesions includes anomalous pulmonary origins of the coronary arteries, anomalous aortic origins of the coronary arteries, single coronary artery, congenital atresia of the left main coronary, coronary artery fistulas, and intramyocardial courses. Acquired anomalies include coronary artery aneurysms, late postoperative obstructions in patients who had coronary artery surgical manipulations, and iatrogenic injuries that can occur in the catheterization laboratory or in the operating room. In this chapter, the anomalies described are those in hearts with concordant atrioventricular and ventriculoarterial connections. Coronary variations in complex congenital heart diseases are not encompassed, nor are coronary artery lesions that are associated with initial operations for arterial switch, tetralogy of Fallot repair, and the various types of Norwood operations.

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Authors and Affiliations

  1. Division of Pediatric and Congenital Heart Surgery, Batson Children’s Hospital, Department of Surgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA

    Ali Dodge-Khatami

  2. Congenital Heart Institute, Walt Disney Pavilion, Florida Hospital for Children, Kids Doc Building; 615 E. Princeton St. Suite 412, Orlando, FL, 32803, USA

    Constantine Mavroudis

  3. Pediatric Cardiovascular-Thoracic Surgery, Department of Surgery, Division of Cardiovascular-Surgery, Children’s Memorial Hospital, Northwestern University Feinberg School of Medicine, 2300 Children’s Plaza, M/C 22, Chicago, IL, 60614, USA

    Carl L. Backer

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  1. Ali Dodge-Khatami
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  2. Constantine Mavroudis
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  3. Carl L. Backer
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Correspondence to Ali Dodge-Khatami .

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Editors and Affiliations

  1. Dept. of Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Eduardo M. Da Cruz

  2. Dept. Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Dunbar Ivy

  3. Pediatric Cardiac Surgery, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    James Jaggers

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Dodge-Khatami, A., Mavroudis, C., Backer, C.L. (2014). Congenital and Acquired Coronary Artery Anomalies in Newborns, Infants, Children, and Young Adults. In: Da Cruz, E., Ivy, D., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4619-3_50

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