2008
DOI: 10.1016/j.jacc.2008.02.048
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Finding Asymptomatic People With a Coronary Artery Arising From the Wrong Sinus of Valsalva

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Cited by 20 publications
(20 citation statements)
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“…Management of patients with CAA includes medical treatment or observation, PCI or coronary artery bypass graft surgery in presence of significant coronary stenosis. In the absence of coronary lesion, surgery in the form of unroofing or reimplantation may be considered in patients with interarterial course of anomalous coronary artery presenting with unexplained syncope or malignant arrhythmia or aborted sudden death [11]. In asymptomatic patients surgery is advised if myocardial perfusion scan is positive or if they are less than 30 years of age even if nuclear scan is negative [11].…”
Section: Discussionmentioning
confidence: 99%
“…Management of patients with CAA includes medical treatment or observation, PCI or coronary artery bypass graft surgery in presence of significant coronary stenosis. In the absence of coronary lesion, surgery in the form of unroofing or reimplantation may be considered in patients with interarterial course of anomalous coronary artery presenting with unexplained syncope or malignant arrhythmia or aborted sudden death [11]. In asymptomatic patients surgery is advised if myocardial perfusion scan is positive or if they are less than 30 years of age even if nuclear scan is negative [11].…”
Section: Discussionmentioning
confidence: 99%
“…Most patients with this anomaly are asymptomatic and never suffer any complications lifetime [6]. Because of low incidence and limited publications, the factors affecting prognosis are unclear.…”
Section: Discussionmentioning
confidence: 99%
“…echokardiografi cké vyšetření provedené v rámci screeningu koronárních anomálií u sportovců nebylo schopno tuto anomálii odhalit [11,16] Při nálezu maligní varianty koronární anomálie je nutné vyloučit sportovní aktivitu. Většina náhlých úmrtí způsobených ACAOS byla totiž popsána právě při sportovní aktivitě nebo v bezprostřední návaznosti na ni [4,10,11,17,18]. U pacientů s interarteriálním průběhem, obvzlášť pokud jde o symptomatického pacienta, se doporučuje chirurgická korekce [7,17].…”
Section: Obr 2 -Selektivní Angiografi E Pravé Věnčité Tepny (A) a Obunclassified