Coronary Anomalies

Jennifer Huang; Keri M. Shafer

doi:10.1007/978-3-030-16818-6_24

Coronary Anomalies

Jennifer Huang, Keri M. Shafer

Pediatrics

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

The pediatric and congenital cardiologist may encounter a variety of congenital and acquired coronary artery anomalies. Exercise testing, in combination with stress-imaging modalities, can be of value in the assessment of some of these patients. However, the pathophysiology of the myocardial ischemia that results from these lesions may differ from that encountered in typical adult-type coronary artery disease and clinical experience with these rare disorders is limited. Consequently, the ability of exercise testing to accurately identify myocardial ischemia in pediatric patients is currently imperfect. The limitations of this technology must be recognized and appreciated.

Original language	English (US)
Title of host publication	Exercise Physiology for the Pediatric and Congenital Cardiologist
Publisher	Springer International Publishing
Pages	179-185
Number of pages	7
ISBN (Electronic)	9783030168186
ISBN (Print)	9783030168179
DOIs	https://doi.org/10.1007/978-3-030-16818-6_24
State	Published - Jan 1 2019

Keywords

Anomalous aortic origin of a coronary artery (AAOCA)
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA)
Coronary anomalies
Coronary artery disease (CAD)
Coronary artery fistulae
Intraluminal coronary artery obstruction
Ischemic cascade
Kawasaki’s disease
Myocardial ischemia
Postoperative coronary arteries

ASJC Scopus subject areas

General Medicine

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10.1007/978-3-030-16818-6_24

Cite this

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abstract = "The pediatric and congenital cardiologist may encounter a variety of congenital and acquired coronary artery anomalies. Exercise testing, in combination with stress-imaging modalities, can be of value in the assessment of some of these patients. However, the pathophysiology of the myocardial ischemia that results from these lesions may differ from that encountered in typical adult-type coronary artery disease and clinical experience with these rare disorders is limited. Consequently, the ability of exercise testing to accurately identify myocardial ischemia in pediatric patients is currently imperfect. The limitations of this technology must be recognized and appreciated.",

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KW - Intraluminal coronary artery obstruction

KW - Ischemic cascade

KW - Kawasaki’s disease

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KW - Postoperative coronary arteries

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Coronary Anomalies

Abstract

Keywords

ASJC Scopus subject areas

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