alexa Coronary Arteries in Childhood Heart Disease: Implications for Management of Young Adults
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
Open Access

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Review Article

Coronary Arteries in Childhood Heart Disease: Implications for Management of Young Adults

Fernando Baraona1,2, Anne Marie Valente1,2, Prashob Porayette1,3, Francesca Romana Pluchinotta1,3 and Stephen P. Sanders1,3,4*
1Department of Cardiology, Children’s Hospital Boston, Boston, MA 02115, USA
2Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Boston, MA 02115, USA
3Department of Pathology, Children’s Hospital Boston, Boston, MA 02115, USA
4Department of Cardiac Surgery, Children’s Hospital Boston, Boston, MA 02115, USA
Corresponding Author : Stephen P. Sanders
Professor of Pediatrics (Cardiology)
Harvard Medical School, Director
Cardiac Registry, Departments of Cardiology
Pathology, and Cardiac Surgery, Children’s Hospital Boston 300 Longwood Ave
Boston, MA 02115, USA
Tel: 857 218-5417
Fax: 617 730-0207
E-mail: [email protected]
Received December 14, 2011; Accepted February 10, 2012; Published June 15, 2012
Citation: Baraona F, Valente AM, Porayette P, Pluchinotta FR, Sanders SP (2012) Coronary Arteries in Childhood Heart Disease: Implications for Management of Young Adults. J Clin Exp Cardiolog S8:006 doi: 10.4172/2155-9880.S8-006
Copyright: © 2012 Baraona F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Survival of patients with congenital heart defects has improved dramatically. Many will undergo interventional catheter or surgical procedures later in life. Others will develop atherosclerotic or post-surgical coronary heart disease. The coronary artery anatomy in patients with congenital heart disease differs substantially from that seen in the structurally normal heart. This has implications for diagnostic procedures as well as interventions. The unique epicardial course seen in some defects could impair interpretation of coronary angiograms. Interventional procedures, especially at the base of the heart, risk injuring unusually placed coronary arteries so that coronary artery anatomy must be delineated thoroughly prior to the procedure. In this review, we will describe the variants of coronary artery anatomy and their implications for interventional and surgical treatment and for sudden death during late follow-up in several types of congenital heart defects including: tetralogy of Fallot, truncus arteriosus, transposition of the great arteries, double outlet right ventricle, congenitally corrected transposition of the great arteries and defects with functionally one ventricle. We will also discuss the coronary abnormalities seen in Kawasaki disease.

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