Main Coronary Artery and Coronary Ostial Stenosis in Children: Detection by Transthoracic Color Flow and Pulsed Doppler Echocardiography

Jureidini, Saadeh B.; Marino, Cynthia J.; Singh, Gautam K.; Fiore, Andrew C.; Balfour, Ian

doi:10.1067/mje.2000.102983

Cited by 32 publications

(17 citation statements)

References 18 publications

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“…Two new Class I recommendations and one Class III recommendation have been added. [177][178][179][180][181][182][183][184][185][186][187][188][189][190][191][192][193][194] One recommendation has moved from Class IIb to Class IIa. Class I recommendations have been renumbered for clarity.…”

Section: Recommendations For Neonatal Echocardiographymentioning

confidence: 99%

ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: Summary Article

Cheitlin¹,

Armstrong²,

Aurigemma³

et al. 2003

Circulation

750

266

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interest that might arise as a result of an outside relationship or personal interest of a member of the writing panel. Specifically, all members of the writing panel are asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur. The relationship with industry information for the writing committee members is posted on the ACC and AHA World Wide Web sites with the full-length version of the update.

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Section: Recommendations For Neonatal Echocardiographymentioning

confidence: 99%

ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: Summary Article

Cheitlin¹,

Armstrong²,

Aurigemma³

et al. 2003

Circulation

750

266

View full text Add to dashboard Cite

show abstract

“…However, there exist reports stating that coronary flow reserve is decreased in patients after coronary artery translocation [27,28]. The detection of coronary ostial stenosis and evaluation of coronary circulation has also been made by transthoracic echocardiography study [29][30][31][32]. However, the health care professional administers the test needs extensive training to be able to register the coronary flow during a noninvasive study.…”

Section: Discussionmentioning

confidence: 97%

Late coronary complications after arterial switch operation and their treatment

El-Segaier

Lundin

Hochbergs

et al. 2010

Cathet Cardio Intervent

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“…It is a potentially life-threatening condition, and thus recognizing this condition antemortem is essential because surgical treatment offers good outcome [21]. In children, it can occur as an isolated lesion or in association with other coronary artery abnormalities, such as aberrant origin of a coronary artery from the contralateral aortic sinus [18,21]. It also may be seen with other forms of congenital heart disease, such as transposition of the great arteries that is associated with an intramural coronary artery, or with supravalvular or valvular aortic stenosis or truncus arteriosus [21].…”

Section: Coronary Ostial Stenosismentioning

confidence: 99%

“…In children, it can occur as an isolated lesion or in association with other coronary artery abnormalities, such as aberrant origin of a coronary artery from the contralateral aortic sinus [18,21]. It also may be seen with other forms of congenital heart disease, such as transposition of the great arteries that is associated with an intramural coronary artery, or with supravalvular or valvular aortic stenosis or truncus arteriosus [21]. The stenosis is caused either by narrowing of the ostium, a valve-like membrane, or curtains of fibrous tissue surrounding the ostium [18,21].…”

Section: Coronary Ostial Stenosismentioning

confidence: 99%

Section: Coronary Ostial Stenosismentioning

confidence: 99%

See 1 more Smart Citation

Congenital coronary artery abnormalities in children

Jureidini

Marino

Singh

2001

Curr Treat Options Cardio Med

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After a significant coronary artery abnormality is recognized in a pediatric patient, surgery or appropriate transcatheter intervention should be performed. The risk of fatality from a congenital coronary abnormality far outweighs the small risks of surgical or transcatheter intervention. Angiography, although considered the state-of-the-art method of diagnosis, has significant spatial limitations and is not always diagnostic of aberrant coronary origins from the contralateral aortic sinus. In the hands of an experienced coronary imager, color flow Doppler echocardiography is one of the best diagnostic tools for congenital coronary abnormalities. Symptoms of a coronary abnormality vary from none to a sudden coronary event that may result in death. Awareness of subtle as well as obvious symptoms is essential for a timely intervention. Surgical or transcatheter intervention in an asymptomatic child with a coronary abnormality is controversial, but it is becoming more acceptable due to a better understanding of the risks involved in unrepaired congenital coronary abnormalities. Surgical reimplantation is the treatment of choice for a patients with a pulmonary origin of a coronary artery. Surgical unroofing of the intramural segment is preferable in an aberrant coronary origin from the contralateral aortic sinus. Surgical enlargement of a stenotic ostium is recommended for ostial stenosis. Transcatheter coil embolization is becoming the treatment of choice of large coronary artery fistula.

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Main Coronary Artery and Coronary Ostial Stenosis in Children: Detection by Transthoracic Color Flow and Pulsed Doppler Echocardiography

Cited by 32 publications

References 18 publications

ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: Summary Article

ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: Summary Article

Late coronary complications after arterial switch operation and their treatment

Congenital coronary artery abnormalities in children

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