Coronary artery abnormalities and sudden cardiac death

Joseph Camarda, Stuart Berger*

*Corresponding author for this work

Research output: Contribution to journalReview article

19 Scopus citations

Abstract

Anomalous origin of a coronary artery (AOCA) can be associated with sudden cardiac death (SCD), particularly in young athletes. The diagnosis usually can be made by transthoracic echocardiography. In the case of patients for whom this method is not diagnostic, other methods are available including transesophageal echocar-diography, cardiac magnetic resonance imaging (CMRI), and computed tomographic (CT) angiography. The decision to intervene is dependent on the type of lesion, the course of the coronary artery, its known association with SCD, and any symptoms present at the time of diagnosis. For patients without symptoms who have lesions less clearly associated with SCD [e.g., anomalous origin of the right coronary artery (AORCA)], the decision to intervene is more controversial. Further prospective studies hopefully will elucidate the optimum treatment pathway for such patients.

Original languageEnglish (US)
Pages (from-to)434-438
Number of pages5
JournalPediatric cardiology
Volume33
Issue number3
DOIs
StatePublished - Mar 1 2012

Keywords

  • Anomalous coronary
  • Coronary abnormality
  • Sudden death

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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