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Acquired and Congenital Coronary Artery Diseases

Fuller, Stephanie MD, MS1; Ravishankar, Chitra MBBS2

Pediatric Critical Care Medicine: August 2016 - Volume 17 - Issue 8 - p S356-S361
doi: 10.1097/PCC.0000000000000816
Congenital Heart Disease
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Objectives: The objectives of this review are to discuss the spectrum of coronary artery anomalies and the evidence behind current treatment strategies.

Data Source: MEDLINE and PubMed.

Conclusion: Coronary artery anomalies exist in up to 1% of the population and most of these do not cause symptoms or ischemia and do not require any surgical intervention whereas others are potentially fatal. The type of surgical intervention is often dictated by the type of lesion, and upon the unique anatomic and physiologic variables associated with each lesion. Postoperative care can be challenging particularly after surgical repair of anomalous left coronary artery from the pulmonary artery.

1Division of Cardiothoracic Surgery, The Perelman School of Medicine at the University of Pennsylvania, The Children’s Hospital of Philadelphia, Philadelphia, PA.

2Department of Pediatrics, Section of Cardiology, The Perelman School of Medicine at the University of Pennsylvania, The Children’s Hospital of Philadelphia, Philadelphia, PA.

Dr. Ravishankar received funding from Mount Sinai Medical Center (Invited as a speaker for grand rounds) and from Dannone Medical (Consultation fees). Dr. Fuller disclosed that she does not have any potential conflicts of interest.

For information regarding this article, E-mail: fullers@email.chop.edu

Copyright © 2016 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies