Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course

Although the prevalence of anomalous coronary artery from the opposite sinus (ACAOS) in the general population is low, more frequent use of invasive and non-invasive imaging to rule out coronary artery disease has seen an increase in absolute numbers of ACAOS. ACAOS are traditionally classified as m...

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Autores principales:	Christoph Gräni, Philipp A Kaufmann, Stephan Windecker, Ronny R Buechel
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/4f56b1b3be1149458a42c6d87a81ae4a
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spelling	oai:doaj.org-article:4f56b1b3be1149458a42c6d87a81ae4a2021-12-04T16:01:14ZDiagnosis and Management of Anomalous Coronary Arteries with a Malignant Course10.15420/icr.2019.1.11756-14851756-1477https://doaj.org/article/4f56b1b3be1149458a42c6d87a81ae4a2019-05-01T00:00:00Zhttps://www.icrjournal.com/articles/Anomalous-Coronary-Arteries-Malignanthttps://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Although the prevalence of anomalous coronary artery from the opposite sinus (ACAOS) in the general population is low, more frequent use of invasive and non-invasive imaging to rule out coronary artery disease has seen an increase in absolute numbers of ACAOS. ACAOS are traditionally classified as malignant (with an interarterial course) and benign variants. Malignant variants have been recognised in autopsy studies to be an underlying cause of sudden cardiac death in young athletes. Conversely, it seems that older people with ACAOS are less predisposed to adverse cardiac events. Non-invasive anatomic imaging is complementary to invasive imaging and helps to further identify high-risk anatomic features. Using functional non-invasive perfusion imaging can assess potential ischaemia induced by dynamic compression of malignant ACAOS. Information gained from clinical imaging guides the management of these patients.Christoph GräniPhilipp A KaufmannStephan WindeckerRonny R BuechelRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 2, Pp 83-88 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Christoph Gräni Philipp A Kaufmann Stephan Windecker Ronny R Buechel Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course
description	Although the prevalence of anomalous coronary artery from the opposite sinus (ACAOS) in the general population is low, more frequent use of invasive and non-invasive imaging to rule out coronary artery disease has seen an increase in absolute numbers of ACAOS. ACAOS are traditionally classified as malignant (with an interarterial course) and benign variants. Malignant variants have been recognised in autopsy studies to be an underlying cause of sudden cardiac death in young athletes. Conversely, it seems that older people with ACAOS are less predisposed to adverse cardiac events. Non-invasive anatomic imaging is complementary to invasive imaging and helps to further identify high-risk anatomic features. Using functional non-invasive perfusion imaging can assess potential ischaemia induced by dynamic compression of malignant ACAOS. Information gained from clinical imaging guides the management of these patients.
format	article
author	Christoph Gräni Philipp A Kaufmann Stephan Windecker Ronny R Buechel
author_facet	Christoph Gräni Philipp A Kaufmann Stephan Windecker Ronny R Buechel
author_sort	Christoph Gräni
title	Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course
title_short	Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course
title_full	Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course
title_fullStr	Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course
title_full_unstemmed	Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course
title_sort	diagnosis and management of anomalous coronary arteries with a malignant course
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/4f56b1b3be1149458a42c6d87a81ae4a
work_keys_str_mv	AT christophgrani diagnosisandmanagementofanomalouscoronaryarterieswithamalignantcourse AT philippakaufmann diagnosisandmanagementofanomalouscoronaryarterieswithamalignantcourse AT stephanwindecker diagnosisandmanagementofanomalouscoronaryarterieswithamalignantcourse AT ronnyrbuechel diagnosisandmanagementofanomalouscoronaryarterieswithamalignantcourse
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Diagnosis and Management of Anomalous Coronary Arteries with a Malignant Course

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