Coronary artery disease in adults with congenital heart disease

Rosa, Salvatore De; Sabatino, Jolanda; Salvo, Giovanni Di; Torella, Daniele; Mario, Carlo di

doi:10.1016/j.ijcchd.2023.100466

International Journal of Cardiology Congenital Heart Disease

2023

DOI: 10.1016/j.ijcchd.2023.100466

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Coronary artery disease in adults with congenital heart disease

Salvatore De Rosa

Jolanda Sabatino

Giovanni Di Salvo

et al.

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2024

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Cited by 3 publications

References 94 publications

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Paradoxical Infarction? Inferior STEMI With Unexpected Discovery of ASD in an Oncology Patient: A Case of Combined Percutaneous Intervention

Balbuena Madera,

Garcia Garcia,

Vargas Cruz

et al. 2024

Clinical Case Reports

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This case report explores the management of a 56‐year‐old female oncology patient presenting with acute ST‐elevation myocardial infarction (STEMI) and an incidental atrial septal defect (ASD). The patient, with a history of rectal cancer and hypothyroidism, experienced acute chest pain and dyspnea. She was diagnosed with an inferior STEMI and underwent percutaneous coronary intervention (PCI) with the placement of three medicated stents in the right coronary artery. During hospitalization, an echocardiogram revealed a significant ostium secundum ASD. Angiography indicated thrombi, suggesting a potential paradoxical embolism. Percutaneous ASD closure was performed during the same hospital stay, leading to a favorable clinical course without immediate complications. This case highlights the importance of a multidisciplinary approach and comprehensive evaluation in managing complex cardiovascular conditions, particularly in patients with increased thrombotic risk due to malignancy.

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Paradoxical Infarction? Inferior STEMI With Unexpected Discovery of ASD in an Oncology Patient: A Case of Combined Percutaneous Intervention

Balbuena Madera,

Garcia Garcia,

Vargas Cruz

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Atherosclerotic Risk Factor Prevalence in Adults With Congenital Heart Disease

Papazoglou,

Kyriakoulis,

Barmpagiannos

et al. 2024

JACC: Advances

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The Unique Challenge of Coronary Artery Disease in Adult Patients with Congenital Heart Disease

Borrelli,

Merola,

Barracano

et al. 2024

JCM

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Advances in medical and surgical interventions have resulted in a steady increase in the number of patients with congenital heart disease (CHD) reaching adult age. Unfortunately, this ever-growing population faces an added challenge: an increased risk of acquiring coronary artery disease. This review provides insight into the complex interactions between coronary artery disease and CHD in adults. We describe the peculiar features of cardiac anatomy in these patients, the possible role cardiac sequelae may play in an increased risk of myocardial ischemia, and the diagnostic challenges in this patient group. Furthermore, this review outlines the risk factors and potential mechanisms of accelerated atherosclerosis in adults with CHD by pointing out areas where current knowledge is incomplete and highlighting areas for further research. The review concludes by examining potential management strategies for this particular population, emphasizing the necessity for a multidisciplinary approach. Understanding the unique coronary risks that adults with CHD experience can enhance patient care and improve long-term results.

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Coronary artery disease in adults with congenital heart disease

Cited by 3 publications

References 94 publications

Paradoxical Infarction? Inferior STEMI With Unexpected Discovery of ASD in an Oncology Patient: A Case of Combined Percutaneous Intervention

Paradoxical Infarction? Inferior STEMI With Unexpected Discovery of ASD in an Oncology Patient: A Case of Combined Percutaneous Intervention

Atherosclerotic Risk Factor Prevalence in Adults With Congenital Heart Disease

The Unique Challenge of Coronary Artery Disease in Adult Patients with Congenital Heart Disease

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