Article

PDF
Access to the PDF text
Advertising


Free Article !

Archives of cardiovascular diseases
Volume 106, n° 4
page 264 (avril 2013)
Doi : 10.1016/j.acvd.2013.03.050
Abstracts

Identification of major coronary artery anomalies in a pediatric and adult population: A prospective echocardiographic study
 

F. Labombarda, G. Coutance, A. Pellissier, C. Claire, V. Roule, P. Maragnes, P. Milliez, E. Saloux
 CHU de Caen, Caen, France 

Objectives .– We sought to describe our experiment with major coronary anomalies (MCA) diagnosed in trans thoracic echocardiographic (TTE) in a large adult and pediatric population.

Background .– MCA may have serious clinical consequences. No echocardiographic study has identified prospectively all potentially serious coronary anomalies in a general adult and pediatric population.

Patients .– From June 2008 to January 2012, a systematic search for major coronary anomalies was conducted in children and adults patients, coming for a TTE.

Results .– Three thousand five hundred and two patients (84% adults and 16% children) received a TTE. Fourteen coronary anomalies (0.39%) were diagnosed: nine anomalous origins of coronary artery from the opposite sinus with inter arterial course, one abnormal left coronary artery from pulmonary artery, three single coronary arteries, one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations, three coronary bypass grafting. Ten patients had already received at least one TTE without the anomalous coronary artery being either diagnosed or suspected.

Conclusions .– MCA is a rare condition which can be identified through an accurate exploration of coronary anatomy by TTE. The search for potentially lethal congenital coronary anomalies should be included a standard echocardiographic examination.


Top of the page

© 2013  Published by Elsevier Masson SAS.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline
You can move this window by clicking on the headline
@@#110903@@