Anomalous aortic origin of coronary arteries from the opposite sinus: A critical appraisal of risk

BMC Cardiovascular Disorders

Colin KL Phoon²  Daniel Weitz³  Ralph S Mosca¹  Josiah M Peñalver² 

[1] Division of Pediatric and Adult Congenital Cardiac Surgery, Department of Cardiothoracic Surgery, 530 First Avenue, Suite 9-V, New York, NY 10016, USA;Division of Pediatric Cardiology, Department of Pediatrics, 160 East 32nd Street, L-3, New York, NY 10016, USA;Leon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA

关键词: Congenital;    Heart defects;    Anomalous aortic origin of the coronary artery;    Sudden cardiac death;    Coronary artery anomaly;   

Others  :  1084360
DOI  :  10.1186/1471-2261-12-83

 received in 2012-02-17, accepted in 2012-08-27,  发布年份 2012

【 摘 要 】

Background

Anomalous aortic origin of the coronary artery (AAOCA) from the opposite sinus of Valsalva with an interarterial course has received much attention due to its association with sudden death in otherwise healthy individuals. AAOCA is relatively common and may have significant public health implications. While our knowledge of its pathophysiology and natural history remains incomplete, an emphasis has been placed on surgical correction.

Discussion

In 2005 we published a review examining the rates of sudden death with AAOCA, as well as complications of surgical management. Evidence now points even more strongly to lower rates of sudden death, while surgical outcomes data now better documents associated risks.

Summary

Armed with this updated information, we agree with the need for a national registry to better track patients with AAOCA. We submit that the risks of surgical management outweigh any benefits in the asymptomatic patient with anomalous right coronary artery, and expectant management should also be strongly considered even in asymptomatic patients with anomalous left coronary artery.

【 授权许可】

   
2012 Penalver et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Mirchandani S, Phoon CK: Management of anomalous coronary arteries from the contralateral sinus. Int J Cardiol 2005, 102:383-389.
• [2]Cheitlin MD, De Castro CM, McAllister HA: Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation 1974, 50:780-787.
• [3]Roberts WC, Siegel RJ, Zipes DP: Origin of the right coronary artery from the left sinus of valsalva and its functional consequences: analysis of 10 necropsy patients. Am J Cardiol 1982, 49:863-868.
• [4]Taylor AJ, Byers JP, Cheitlin MD, Virmani R: Anomalous right or left coronary artery from the contralateral coronary sinus: high risk abnormalities in the initial coronary artery course and heterogenous clinical outcomes. Am Heart J 1997, 133:428-435.
• [5]Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, Daliento L: Anomalous origin of coronary arteries and risk of sudden death: a study based on autopsy population of congenital heart disease. Hum Pathol 1998, 29:689-695.
• [6]Jokl E, McClellan JT, Ross GD: Congenital anomaly of left coronary artery in young athlete. JAMA 1962, 182:572-573.
• [7]Taylor AJ, Rogan KM, Virmani R: Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992, 20:640-647.
• [8]Basso C, Maron BJ, Corrado D, Thiene G: Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000, 35:1493-1501.
• [9]Thiene G, Carturan E, Corrado D, Basso C: Prevention of sudden cardiac death in the young and in athletes: dream or reality? Cardiovasc Pathol 2010, 19:207-217.
• [10]Angelini P, Velasco JA, Ott D, Khoshnevis GR: Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiologic mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol 2003, 15:507-514.
• [11]Angelini P, Walmsley RP, Libreros A, Ott DA: Symptomatic anomalous origination of the left coronary artery from the opposite sinus of valsalva. Clinical presentations, diagnosis, and surgical repair. Tex Heart Inst J 2006, 33:171-179.
• [12]Angelini P: Coronary artery anomalies–current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines. Tex Heart Inst J 2002, 29:271-278.
• [13]Jureidini SB, Singh GK, Marino CJ, Fiore AC: Aberrant origin of the left coronary artery from the right aortic sinus: surgical intervention based on echocardiographic diagnosis. J Am Soc Echocardiogr 2000, 13:1117-1120.
• [14]Bunce NH, Rahman SL, Keegan J, Gatehouse PD, Lorenz CH, Pennell DJ: Anomalous coronary arteries: anatomic and functional assessment by coronary and perfusion cardiovascular magnetic resonance in three sisters. J Cardiovasc Magn Reson 2001, 3:361-369.
• [15]Gharib AM, Ho VB, Rosing DR, Herzka DA, Stuber M, Arai AE, Pettigrew RI: Coronary artery anomalies and variants: technical feasibility of assessment with coronary MR angiography at 3 T. Radiology 2008, 247:220-227.
• [16]Ten Kate GJ, Weustink AC, de Feyter PJ: Coronary artery anomalies detected by MSCT-coronary angiography in the adult. Neth Heart J 2008, 16:369-375.
• [17]Mikolich JR: Cardiac magnetic resonance imaging and coronary computed tomography angiography in the diagnosis of anomalous coronary artery. J Am Coll Cardiol 2009, 53:456.
• [18]Kang JW, Seo JB, Chae EJ, Jang YM, Do KH, Lee JS, Song JW, Lim TH: Coronary artery anomalies: classification and electrocardiogram-gated multidetector computed tomographic findings. Semin Ultrasound CT MR 2008, 29:182-194.
• [19]von Ziegler F, Pilla M, McMullan L, Panse P, Leber AW, Wilke N, Becker A: Visualization of anomalous origin and course of coronary arteries in 748 consecutive symptomatic patients by 64-slice computed tomography angiography. BMC Cardiovasc Disord 2009, 9:54. BioMed Central Full Text
• [20]Cheng Z, Wang X, Duan Y, Wu L, Wu D, Liang C, Liu C, Xu Z: Detection of coronary artery anomalies by dual-source CT coronary angiography. Clin Radiol 2010, 65:815-822.
• [21]Mavrogeni S, Spargias K, Karagiannis S, Kariofilis P, Cokkinos DD, Douskou M, Cokkinos DV: Anomalous origin of right coronary artery: magnetic resonance angiography and viability study. Int J Cardiol 2006, 109:195-200.
• [22]Bluemke DA, Achenbach S, Budoff M, Gerber TC, Gersh B, Hillis LD, Hundley WG, Manning WJ, Printz BF, Stuber M, Woodard PK: Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the american heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation 2008, 118:586-606.
• [23]Pelliccia A, Spataro A, Maron BJ: Prospective echocardiographic screening for coronary artery anomalies in 1,360 elite competitive athletes. Am J Cardiol 1993, 72:978-979.
• [24]Zeppilli P, dello Russo A, Santini C, Palmieri V, Natale L, Giordano A, Frustaci A: In vivo detection of coronary artery anomalies in asymptomatic athletes by echocardiographic screening. Chest 1998, 114:89-93.
• [25]Davis JA, Cecchin F, Jones TK, Portman MA: Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol 2001, 37:593-597.
• [26]Osaki M, McCrindle BW, Van Arsdell G, Dipchand AI: Anomalous origin of a coronary artery from the opposite sinus of Valsalva with an interarterial course: clinical profile and approach to management in the pediatric population. Pediatr Cardiol 2008, 29:24-30.
• [27]Maron BJ, Bodison SA, Wesley YE, Tucker E, Green KJ: Results of screening a large group of intercollegiate competitive athletes for cardiovascular disease. J Am Coll Cardiol 1987, 10:1214-1221.
• [28]Frommelt PC, Berger S, Pelech AN, Bergstrom S, Williamson JG: Prospective identification of anomalous origin of left coronary artery from the right sinus of valsalva using transthoracic echocardiography: importance of color Doppler flow mapping. Pediatr Cardiol 2001, 22:327-332.
• [29]Yamanaka O, Hobbs RE: Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990, 21:28-40.
• [30]Topaz O, DeMarchena EJ, Perin E, Sommer LS, Mallon SM, Chahine RA: Anomalous coronary arteries: angiographic findings in 80 patients. Int J Cardiol 1992, 34:129-138.
• [31]Angelini P, Villason S, Chan AV Jr, Diez JG: From normal and anomalous coronary arteries in humans. In Coronary artery anomalies: a comprehensive approach. Edited by Angelini P. Lippincot Williams & Wilkins, Philadelphia; 1999:27-150.
• [32]Erez E, Tam VK, Doublin NA, Stakes J: Anomalous coronary artery with aortic origin and course between the great arteries: improved diagnosis, anatomic findings, and surgical treatment. Ann Thorac Surg 2006, 82:973-977.
• [33]Gulati R, Reddy VM, Culbertson C, Helton G, Suleman S, Reinhartz O, Silverman N, Hanley FL: Surgical management of coronary artery arising from the wrong coronary sinus, using standard and novel approaches. J Thorac Cardiovasc Surg 2007, 134:1171-1178.
• [34]Devanagondi R, Brenner J, Vricella L, Ravekes W: A tale of two brothers: anomalous coronary arteries in two siblings. Pediatr Cardiol 2008, 29:816-819.
• [35]Ottaviani G, Lavezzi AM, Matturri L: Sudden unexpected death in young athletes. Am J Forensic Med Pathol 2008, 29:337-339.
• [36]Kragel AH, Roberts WC: Anomalous origin of either the right or left main coronary artery from the aorta with subsequent coursing between aorta and pulmonary trunk: analysis of 32 necropsy cases. Am J Cardiol 1988, 62:771-777.
• [37]Heron MP, Hoyert DL, Murphy SL, Xu JQ, Kochanek KD, Tejada-Vera B: Deaths: Final data for 2006. Natl Vital Stat Rep 2009, 57:1-134.
• [38]US Census Bureau[http://www.census.gov]
• [39]Mathews TJ, Miniño AM, Osterman MJ, Strobino DM, Guyer B: Annual summary of vital statistics: 2008. Pediatrics 2011, 127:146-157.
• [40]Wren C, O’Sullivan JJ, Wright C: Sudden death in children and adolescents. Heart 2000, 83:410-413.
• [41]Eckart R, Scoville S, Campbell C, Shry EA, Stajduhar KC, Potter RN, Pearse LA, Virmani R: Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004, 141:829-834.
• [42]Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G: Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006, 296:1593-1601.
• [43]Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO: Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980–2006. Circulation 2009, 119:1085-1092.
• [44]Brothers J, Carter C, McBride M, Spray T, Paridon S: Anomalous left coronary artery origin from the opposite sinus of Valsalva: evidence of intermittent ischemia. J Thorac Cardiovasc Surg 2010, 140:e27-29.
• [45]Harmon KG, Asif IM, Klossner D, Drezner JA: Incidence of sudden cardiac death in national collegiate athletic association athletes. Circulation 2011, 123:1594-600.
• [46]Redelmeier DA, Greenwald JA: Competing risks of mortality with marathons: retrospective analysis. BMJ 2007, 335:1275-1277.
• [47]Chugh SS, Reinier K, Balaji S, Uy-Evanado A, Vickers C, Mariani R, Gunson K, Jui J: Population-based analysis of sudden death in children: The Oregon Sudden Unexpected Death Study. Hear Rhythm 2009, 6:1618-1622.
• [48]Harris KM, Henry JT, Rohman E, Haas TS, Maron BJ: Sudden death during the triathlon. JAMA 2010, 303:1255-1257.
• [49]Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Cella J, Patrick K: Patterns and correlates of physical activity and nutrition behaviors in adolescents. Am J Prev Med 2007, 32:124-130.
• [50]Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Lim C, Brener ND, Wechsler H, Centers for Disease Control and Prevention (CDC): Youth risk behavior surveillance - United States, 2009. MMWR Surveill Summ 2010, 59:1-142.
• [51]Wheeler MT, Heidenreich PA, Froelicher VF, Hlatky MA, Ashley EA: Cost-effectiveness of preparticipation screening for prevention of sudden cardiac death in young athletes. Ann Intern Med 2010, 152:276-286.
• [52]Angelini P, Flamm SD: Newer concepts for imaging anomalous aortic origin of the coronary arteries in adults. Catheter Cardiovasc Interv 2007, 69:942-954.
• [53]Angelini P: Anomalous origin of the left coronary artery from the opposite sinus of valsalva: typical and atypical features. Tex Heart Inst J 2009, 36:313-315.
• [54]Gersony WM: Management of anomalous coronary artery from the contralateral coronary sinus. J Am Coll Cardiol 2007, 50:2083-2084.
• [55]Moustafa SE, Zehr K, Mookadam M, Lorenz EC, Mookadam F: Anomalous interarterial left coronary artery: an evidence based systematic overview. Int J Cardiol 2008, 126:13-20.
• [56]Brothers JA, McBride MG, Seliem MA, Marino BS, Tomlinson RS, Pampaloni MH, Gaynor JW, Spray TL, Paridon SM: Evaluation of myocardial ischemia after surgical repair of anomalous aortic origin of a coronary artery in a series of pediatric patients. J Am Coll Cardiol 2007, 50:2078-2082.
• [57]Brothers JA, Gaynor JW, Jacobs JP, Caldarone C, Jegatheeswaran A, Jacobs ML, Anomalous Coronary Artery Working Group: The registry of anomalous aortic origin of the coronary artery of the Congenital Heart Surgeons' Society. Cardiol Young 2010, 20:50-58.
• [58]Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA, del Nido P, Fasules JW, Graham TP Jr, Hijazi ZM, Hunt SA, King ME, Landzberg MJ, Miner PD, Radford MJ, Walsh EP, Webb GD, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Buller CE, Creager MA, Ettinger SM, Halperin JL, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura RA, Page RL, Riegel B, Tarkington LG, Yancy CW, American College of Cardiology; American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease); American Society of Echocardiography; Heart Rhythm Society; International Society for Adult Congenital Heart Disease; Society for Cardiovascular Angiography and Interventions; Society of Thoracic Surgeons: ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008, 52:e143-e263.
• [59]Moodie DS, Gill C, Loop FD, Sheldon WC: Anomalous left main coronary artery originating from the right sinus of Valsalva: Pathophysiology, angiographic definition, and surgical approaches. J Thorac Cardiovasc Surg 1980, 80:198-205.
• [60]Selig MB, Jafari N: Anomalous origin of the left main coronary artery from the right coronary artery ostium-interarterial subtype: angiographic definition and surgical treatment. Cathet Cardiovasc Diagn 1994, 31:41-47.
• [61]Tavaf-Motamen H, Bannister SP, Corcoran C, Stewart RW, Mulligan CR, DeVries WC: Repair of anomalous origin of right coronary artery from the left sinus of valsalva. Ann Thorac Surg 2008, 85:2135-2136.
• [62]Reul RM, Cooley DA, Hallman GL, Reul GJ: Surgical treatment of coronary artery anomalies: report of a 37 1/2-year experience at the Texas Heart Institute. Tex Heart Inst J 2002, 29:299-307.
• [63]Friedman AH, Fogel MA, Stephens P Jr, Hellinger JC, Nykanen DG, Tweddell J, Feltes TF, Rome JJ: Identification, imaging, functional assessment and management of congenital coronary arterial abnormalities in children. Cardiol Young 2007, 17(Suppl 2):56-67.
• [64]Rogers SO, Leacche M, Mihaljevic T, Rawn JD, Byrne JG: Surgery for anomalous origin of the right coronary artery from the left aortic sinus. Ann Thorac Surg 2004, 78:1829-1831.
• [65]Frommelt PC, Frommelt MA, Tweddell JS, Jaquiss RDB: Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol 2003, 42:148-154.
• [66]Karl TR, Provenzano SC, Nunn GR: Anomalous aortic origin of a coronary artery: a universally applicable surgical strategy. Cardiol Young 2010, 20:44-49.
• [67]Rodefeld MD, Culbertson CB, Rosenfeld HM, Hanley FL, Thompson LD: Pulmonary artery translocation: a surgical option for complex anomalous coronary artery anatomy. Ann Thorac Surg 2001, 72:2150-2152.
• [68]van Son JA, Mohr FW: Modified unroofing procedure in anomalous aortic origin of left or right coronary artery. Ann Thorac Surg 1997, 64:568-569.
• [69]Jureidini SB, Singh GK, Marino CJ, Fiore AC: Aberrant origin of the left coronary artery from the right aortic sinus: surgical intervention based on echocardiographic diagnosis. J Am Soc Echocardiogr 2000, 13:1117-1120.
• [70]Romp RL, Herlong JR, Landolfo CK, Sanders SP, Miller CE, Ungerleider RM, Jaggers J: Outcome of unroofing procedure for repair of anomalous origin of left or right coronary artery. Ann Thorac Surg 2003, 76:589-596.
• [71]Mustafa I, Gula G, Radley-Smith R, Durrer S, Yacoub M: Anomalous origin of the left coronary artery from the anterior aortic sinus: a potential cause of sudden death. J Thorac Cardiovasc Surg 1981, 82:297-300.
• [72]Brothers J, Gaynor JW, Paridon S, Lorber R, Jacobs M: Anomalous aortic origin of a coronary artery with an interarterial course: understanding current management strategies in children and young adults. Pediatr Cardiol 2009, 30:911-921.
• [73]Garcia-Rinaldi R, Sosa J, Olmeda S, Cruz H, Carballido J, Quintana C: Surgical treatment of right coronary arteries with anomalous origin and slit ostium. Ann Thorac Surg 2004, 77:1525-1529.
• [74]Alphonso N, Anagnostopoulos PV, Nölke L, Moon-Grady A, Azakie A, Raff GW, Karl TR: Anomalous coronary artery from the wrong sinus of Valsalva: a physiologic repair strategy. Ann Thorac Surg 2007, 3:1472-1476.
• [75]Fedoruk LM, Kern JA, Peeler BB, Kron IL: Anomalous origin of the right coronary artery: right internal thoracic artery to right coronary artery bypass is not the answer. J Thorac Cardiovasc Surg 2007, 133:456-460.
• [76]Hamzeh G, Crespo A, Estarán R, Rodríguez MA, Voces R, Aramendi JI: Anomalous origin of right coronary artery from left coronary sinus. Asian Cardiovasc Thorac Ann 2008, 16:305-308.
• [77]Davies JE, Burkhart HM, Dearani JA, Suri RM, Phillips SD, Warnes CA, Sundt TM 3rd, Schaff HV: Surgical management of anomalous aortic origin of a coronary artery. Ann Thorac Surg 2009, 88:844-847.
• [78]ElZein C, Hanhan Z, Massad M, Barth MJ, Muangmingsuk S, Geha A, Polimenakos A, Ilbawi M: Surgical repair of anomalous coronary arteries arising from the opposite sinus of Valsalva in infants and children. J Card Surg 2009, 24:466-469.
• [79]Frommelt PC, Sheridan DC, Berger S, Frommelt MA, Tweddell JS: Ten-year experience with surgical unroofing of anomalous aortic origin of a coronary artery from the opposite sinus with an interarterial course. J Thorac Cardiovasc Surg 2011, 142:1046-1051.
• [80]Krasuski RA, Magyar D, Hart S, Kalahasti V, Lorber R, Hobbs R, Pettersson G, Blackstone E: Long-term outcome and impact of surgery on adults with coronary arteries originating from the opposite coronary cusp. Circulation 2011, 123:154-162.
• [81]Mainwaring RD, Reddy VM, Reinhartz O, Petrossian E, MacDonald M, Nasirov T, Miyake CY, Hanley FL: Anomalous aortic origin of a coronary artery: medium-term results after surgical repair in 50 patients. Ann Thorac Surg 2011, 92:691-697.
• [82]Mumtaz MA, Lorber RE, Arruda J, Pettersson GB, Mavroudis C: Surgery for anomalous aortic origin of the coronary artery. Ann Thorac Surg 2011, 91:811-814.
• [83]Bixby MB: Successful medical management of a patient with an anomalous right coronary artery who declined surgery. Am J Crit Care 1998, 7:393-394.
• [84]Ho JS, Strickman NE: Anomalous origin of the right coronary artery from the left coronary sinus: case report and literature review. Tex Heart Inst J 2002, 29:37-39.
• [85]Assiri AS: Acute coronary syndrome caused by anomalous origin of the right coronary artery from the left sinus of Valsalva. West Afr J Med 2005, 24:278-279.
• [86]Barbou F, Schiano P, Lahutte M: Anomalous right coronary artery from the left coronary sinus, with an interarterial course. Arch Cardiovasc Dis 2010, 103:626-628.
• [87]Kaku B, Shimizu M, Yoshio H, Ino H, Mizuno S, Kanaya H, Ishise S, Mabuchi H: Clinical features of prognosis of Japanese patients with anomalous origin of the coronary artery. Jpn Circ J 1996, 60:731-741.
• [88]Ouali S, Neffeti E, Sendid K, ElGhoul K, Remedi F, Boughzela E: Congenital anomalous aortic origins of the coronary arteries in adults: a Tunisian coronary arteriography study. Arch Cardiovasc Dis 2009, 102:201-208.
• [89]Wilentz JR, Hecht HS: Utility of coronary computed tomography guidance for intervention of an anomalous right coronary artery. J Invasive Cardiol 2009, 21:374-376.
• [90]Yildiz A, Yiğiner O, Gürçinar H, Başkurt M, Okçün B: Primary stenting of the anomalous left main coronary artery originating from right coronary sinus: multislice computerized tomography angiography imaging. Anadolu Kardiyol Derg 2009, 9:E21.
• [91]Candemir B, Gurlek A, Baha RM: Successful intervention of an anomalous right coronary artery arising from the posterior left sinus of Valsalva. J Invasive Cardiol 2010, 22:E175-176.
• [92]Rudan D, Todorovic N, Starcevic B, Raguz M, Bergovec M: Percutaneous coronary intervention of an anomalous right coronary artery originating from the left coronary artery. Wien Klin Wochenschr 2010, 122:508-510.
• [93]Bagur R, Gleeton O, Bataille Y, Bilodeau S, Rodés-Cabau J, Bertrand OF: Right coronary artery from the left sinus of valsalva: Multislice CT and transradial PCI. World J Cardiol 2011, 3:54-56.
• [94]Doorey AJ, Pasquale MJ, Lally JF, Mintz GS, Marshall E, Ramos DA: Six-month success of intracoronary stenting for anomalous coronary arteries associated with myocardial ischemia. Am J Cardiol 2000, 86:580-582.
• [95]Graham TP Jr, Driscoll DJ, Gersony WM, Newburger JW, Rocchini A, Towbin JA: Task Force 2: congenital heart disease. J Am Coll Cardiol 2005, 45:1326-1333.
• [96]Lytrivi ID, Wong AH, Ko HH, Chandra S, Nielsen JC, Srivastava S, Lai WW, Parness IA: Echocardiographic diagnosis of clinically silent congenital coronary artery anomalies. Int J Cardiol 2008, 126:386-393.
• [97]Cheitlin MD, MacGregor J: Congenital anomalies of coronary arteries: role in the pathogenesis of sudden cardiac death. Herz 2009, 34:268-279.
• [98]Frommelt PC: Congenital Coronary Artery Abnormalities Predisposing to SuddenCardiac Death. Pacing Clin Electrophysiol 2009, 32(Suppl 2):63-66.