Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study
We sought to describe our experience with major coronary anomalies (MCAs) diagnosed in transthoracic echocardiography (TTE) in a large adult and paediatric population. MCAs may have serious clinical consequences. No echocardiographic studies have prospectively screened MCA in a general adult and pae...
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| Veröffentlicht in: | European heart journal cardiovascular imaging 2014-07, Vol.15 (7), p.761-768 |
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| creator | Labombarda, Fabien Coutance, Guillaume Pellissier, Arnaud Mery-Alexandre, Claire Roule, Vincent Maragnes, Pascale Milliez, Paul Saloux, Eric |
| description | We sought to describe our experience with major coronary anomalies (MCAs) diagnosed in transthoracic echocardiography (TTE) in a large adult and paediatric population. MCAs may have serious clinical consequences. No echocardiographic studies have prospectively screened MCA in a general adult and paediatric population.
From June 2008 to January 2012, a systematic search for MCA was prospectively conducted in children and adult patients, coming for a TTE. Three thousand five hundred and two patients (84% adults and 16% children) underwent 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 the pulmonary artery, three single coronary ostia, and one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations and three coronary bypass grafting. Ten patients had already undergone at least one TTE with the anomalous coronary artery being neither diagnosed nor suspected.
MCA is a rare condition. TTE appears to be a potentially useful modality for the initial screening of MCA in adults and children, provided special attention is paid to coronary artery analysis. |
| doi_str_mv | 10.1093/ehjci/jet287 |
| format | Article |
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From June 2008 to January 2012, a systematic search for MCA was prospectively conducted in children and adult patients, coming for a TTE. Three thousand five hundred and two patients (84% adults and 16% children) underwent 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 the pulmonary artery, three single coronary ostia, and one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations and three coronary bypass grafting. Ten patients had already undergone at least one TTE with the anomalous coronary artery being neither diagnosed nor suspected.
MCA is a rare condition. TTE appears to be a potentially useful modality for the initial screening of MCA in adults and children, provided special attention is paid to coronary artery analysis.</description><identifier>ISSN: 2047-2404</identifier><identifier>EISSN: 2047-2412</identifier><identifier>DOI: 10.1093/ehjci/jet287</identifier><identifier>PMID: 24459242</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Child ; Child, Preschool ; Cohort Studies ; Coronary Vessel Anomalies - diagnostic imaging ; Coronary Vessel Anomalies - epidemiology ; Coronary Vessel Anomalies - surgery ; Echocardiography - methods ; Echocardiography, Doppler, Color - methods ; Female ; Humans ; Image Processing, Computer-Assisted ; Incidence ; Male ; Mass Screening ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Risk Assessment ; Sensitivity and Specificity ; Severity of Illness Index ; Sex Distribution ; Young Adult</subject><ispartof>European heart journal cardiovascular imaging, 2014-07, Vol.15 (7), p.761-768</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-35276934f9bed65423d7e190bb5dcd1c5b944994fc9ddafb1783120ea02692273</citedby><cites>FETCH-LOGICAL-c329t-35276934f9bed65423d7e190bb5dcd1c5b944994fc9ddafb1783120ea02692273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24459242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Labombarda, Fabien</creatorcontrib><creatorcontrib>Coutance, Guillaume</creatorcontrib><creatorcontrib>Pellissier, Arnaud</creatorcontrib><creatorcontrib>Mery-Alexandre, Claire</creatorcontrib><creatorcontrib>Roule, Vincent</creatorcontrib><creatorcontrib>Maragnes, Pascale</creatorcontrib><creatorcontrib>Milliez, Paul</creatorcontrib><creatorcontrib>Saloux, Eric</creatorcontrib><title>Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study</title><title>European heart journal cardiovascular imaging</title><addtitle>Eur Heart J Cardiovasc Imaging</addtitle><description>We sought to describe our experience with major coronary anomalies (MCAs) diagnosed in transthoracic echocardiography (TTE) in a large adult and paediatric population. MCAs may have serious clinical consequences. No echocardiographic studies have prospectively screened MCA in a general adult and paediatric population.
From June 2008 to January 2012, a systematic search for MCA was prospectively conducted in children and adult patients, coming for a TTE. Three thousand five hundred and two patients (84% adults and 16% children) underwent 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 the pulmonary artery, three single coronary ostia, and one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations and three coronary bypass grafting. Ten patients had already undergone at least one TTE with the anomalous coronary artery being neither diagnosed nor suspected.
MCA is a rare condition. TTE appears to be a potentially useful modality for the initial screening of MCA in adults and children, provided special attention is paid to coronary artery analysis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Coronary Vessel Anomalies - diagnostic imaging</subject><subject>Coronary Vessel Anomalies - epidemiology</subject><subject>Coronary Vessel Anomalies - surgery</subject><subject>Echocardiography - methods</subject><subject>Echocardiography, Doppler, Color - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Incidence</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Young Adult</subject><issn>2047-2404</issn><issn>2047-2412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kD1PwzAQhi0EolXpxowyMhDqz6RmQ4gvqYgF5sixL62rNA62U6n_HpeW3nIn3XOnVw9C1wTfEyzZDFZrbWdriHRenqExxbzMKSf0_DRjPkLTENY4leAFp-QSjSjnQlJOx2j7odbOZ9p1S-hsVG0aveuU32XKR9i3zm1UayFktstU1iswVkVvddqYTJmhjVnv-qFV0bruYY94F3rQ0W4hA71yWnlj3dKrfpWuQhzM7gpdNKoNMD32Cfp-ef56essXn6_vT4-LXDMqY84ELQvJeCNrMIXglJkSiMR1LYw2RItaci4lb7Q0RjU1KeeMUAwK00JSWrIJuj38TZl-Bgix2tigoW1VB24IFRGsFFIUQib07oDqFD94aKre200SURFc7WVXf7Krg-yE3xw_D_UGzAn-V8t-Ad14fik</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Labombarda, Fabien</creator><creator>Coutance, Guillaume</creator><creator>Pellissier, Arnaud</creator><creator>Mery-Alexandre, Claire</creator><creator>Roule, Vincent</creator><creator>Maragnes, Pascale</creator><creator>Milliez, Paul</creator><creator>Saloux, Eric</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140701</creationdate><title>Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study</title><author>Labombarda, Fabien ; Coutance, Guillaume ; Pellissier, Arnaud ; Mery-Alexandre, Claire ; Roule, Vincent ; Maragnes, Pascale ; Milliez, Paul ; Saloux, Eric</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-35276934f9bed65423d7e190bb5dcd1c5b944994fc9ddafb1783120ea02692273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Coronary Vessel Anomalies - diagnostic imaging</topic><topic>Coronary Vessel Anomalies - epidemiology</topic><topic>Coronary Vessel Anomalies - surgery</topic><topic>Echocardiography - methods</topic><topic>Echocardiography, Doppler, Color - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Incidence</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Labombarda, Fabien</creatorcontrib><creatorcontrib>Coutance, Guillaume</creatorcontrib><creatorcontrib>Pellissier, Arnaud</creatorcontrib><creatorcontrib>Mery-Alexandre, Claire</creatorcontrib><creatorcontrib>Roule, Vincent</creatorcontrib><creatorcontrib>Maragnes, Pascale</creatorcontrib><creatorcontrib>Milliez, Paul</creatorcontrib><creatorcontrib>Saloux, Eric</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European heart journal cardiovascular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Labombarda, Fabien</au><au>Coutance, Guillaume</au><au>Pellissier, Arnaud</au><au>Mery-Alexandre, Claire</au><au>Roule, Vincent</au><au>Maragnes, Pascale</au><au>Milliez, Paul</au><au>Saloux, Eric</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study</atitle><jtitle>European heart journal cardiovascular imaging</jtitle><addtitle>Eur Heart J Cardiovasc Imaging</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>15</volume><issue>7</issue><spage>761</spage><epage>768</epage><pages>761-768</pages><issn>2047-2404</issn><eissn>2047-2412</eissn><abstract>We sought to describe our experience with major coronary anomalies (MCAs) diagnosed in transthoracic echocardiography (TTE) in a large adult and paediatric population. MCAs may have serious clinical consequences. No echocardiographic studies have prospectively screened MCA in a general adult and paediatric population.
From June 2008 to January 2012, a systematic search for MCA was prospectively conducted in children and adult patients, coming for a TTE. Three thousand five hundred and two patients (84% adults and 16% children) underwent 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 the pulmonary artery, three single coronary ostia, and one coronary fistula. Cardiac symptoms initiated investigation in seven patients. Five patients underwent specific surgery: two coronary reimplantations and three coronary bypass grafting. Ten patients had already undergone at least one TTE with the anomalous coronary artery being neither diagnosed nor suspected.
MCA is a rare condition. TTE appears to be a potentially useful modality for the initial screening of MCA in adults and children, provided special attention is paid to coronary artery analysis.</abstract><cop>England</cop><pmid>24459242</pmid><doi>10.1093/ehjci/jet287</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Distribution Aged Child Child, Preschool Cohort Studies Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - epidemiology Coronary Vessel Anomalies - surgery Echocardiography - methods Echocardiography, Doppler, Color - methods Female Humans Image Processing, Computer-Assisted Incidence Male Mass Screening Middle Aged Predictive Value of Tests Prospective Studies Risk Assessment Sensitivity and Specificity Severity of Illness Index Sex Distribution Young Adult |
| title | Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study |
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