Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T07:17:45.115Z Has data issue: false hasContentIssue false
  • English
  • Français

The Congenital Heart Surgeons’ Society Registry of Anomalous Aortic Origin of a Coronary Artery: an update*

Published online by Cambridge University Press:  16 December 2015

Julie A. Brothers ,
J. William Gaynor ,
Jeffrey P. Jacobs ,
Jeffrey A. Poynter  and
Marshall L. Jacobs
Julie A. Brothers*
Affiliation:
Division of Cardiology, The Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
J. William Gaynor
Affiliation:
Department of Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
Jeffrey P. Jacobs
Affiliation:
Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, Orlando, Florida, United States of America Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Maryland, United States of America
Jeffrey A. Poynter
Affiliation:
Indiana University School of Medicine, United States of America
Marshall L. Jacobs
Affiliation:
Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, Orlando, Florida, United States of America Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Maryland, United States of America
*
Correspondence to: Dr J. A. Brothers, MD, The Children’s Hospital of Philadelphia, Division of Cardiology, 3401 Civic Center Boulevard, 8NW Room 75, Philadelphia, PA 19104, United States of America. Tel: 215-590-1804; Fax: 267-426-9800; E-mail: brothersj@email.chop.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

The anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva with an interarterial, intramural, and/or intraconal course is a relatively rare congenital defect of the heart that may be associated with an increased risk of ischaemia of the myocardium and sudden death, notably in children and young adults. Data are limited regarding stratification of risk and long-term outcomes of these patients. In 2009, the Anomalous Coronary Artery Working Group formed the Congenital Heart Surgeons’ Society Registry of Anomalous Aortic Origin of a Coronary Artery to obtain information on large numbers of young patients with anomalous aortic origin of a coronary artery with the goal to better understand the natural and surgical history of this anomaly as well as to develop evidence-based treatment and management guidelines. In this report, we describe the data we have collected from the registry and the current state of the registry.

Keywords

Congenital cardiac diseasepaediatric cardiac diseaseinterarterial coronary arteryintramural coronary arteryintraconal coronary artery
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1567 - 1571
Copyright
© Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at the Johns Hopkins All Children’s Heart Institute’s 15th Annual International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, United States of America, from Friday, 6 February 2015, to Monday, 9 February 2015.

References

1.Angelini, P, Velasco, JA, Ott, D, Khoshnevis, GR. Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiologic mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol 2003; 15: 507–514.Google ScholarPubMed
2.Taylor, AJ, Byers, JP, Cheitlin, MD, Virmani, R. Anomalous right or left coronary artery from the contralateral coronary sinus: high risk abnormalities in the initial coronary artery course and heterogeneous clinical outcomes. Am Heart J 1997; 133: 428–435.CrossRefGoogle ScholarPubMed
3.Roberts, WC, Siegel, RJ, Zipes, DP. Origin of the right coronary artery from the left sinus of Valsalva and its functional consequences: analysis of 10 necropsy patients. Am J Cardiol 1982; 49: 863–868.CrossRefGoogle ScholarPubMed
4.Frescura, C, Basso, C, Thiene, G, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol 1998; 29: 689–695.CrossRefGoogle Scholar
5.Yamanaka, O, Hobbs, RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheter Cardiovasc Diagn 1990; 21: 28–40.CrossRefGoogle ScholarPubMed
6.Labombarda, F, Coutance, G, Pellissier, A, et al. Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study. Eur Heart J Cardiovasc Imaging 2014; 15: 761–768.CrossRefGoogle Scholar
7.Davis, JA, Cecchin, F, Jones, TK, Portman, MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol 2001; 37: 593–597.CrossRefGoogle Scholar
8.Angelini, P. Novel imaging of coronary artery anomalies to assess their prevalence, the causes of clinical symptoms, and the risk of sudden cardiac death. Circ Cardiovasc Imaging 2014; 7: 747–754.CrossRefGoogle ScholarPubMed
9.Basso, C, Maron, BJ, Corrado, D, Thiene, G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000; 35: 1493–1501.CrossRefGoogle ScholarPubMed
10.Maron, BJ, Doerer, JJ, Haas, TS, Tierney, DM, Mueller, FO. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 2009; 119: 1085–1092.CrossRefGoogle ScholarPubMed
11.Maron, BJ, Haas, TS, Ahluwalia, A, Rutten-Ramos, SC. Incidence of cardiovascular sudden deaths in Minnesota high school athletes. Heart Rhythm 2013; 10: 374–377.CrossRefGoogle ScholarPubMed
12.Brothers, J, Carter, C, McBride, M, Spray, T, Paridon, S. Anomalous left coronary artery origin from the opposite sinus of Valsalva: evidence of intermittent ischemia. J Thorac Cardiovasc Surg 2010; 140: e27–e29.CrossRefGoogle ScholarPubMed
13.Brothers, JA, Gaynor, JW, Jacobs, JP, et al. The registry of anomalous aortic origin of the coronary artery of The Congenital Heart Surgeons’ Society. Cardiol Young 2010; 20 (Suppl 3): 50–58.CrossRefGoogle ScholarPubMed
14.Poynter, JA, Williams, WG, McIntyre, S, et al. Anomalous aortic origin of a coronary artery: a report from the Congenital Heart Surgeons’ Society Registry. World J Pediatr Congenit Heart Surg 2014; 5: 22–30.CrossRefGoogle ScholarPubMed
15.Poynter, JA, Bondarenko, I, Austin, EH, et al. Repair of anomalous aortic origin of a coronary artery in 113 patients: a Congenital Heart Surgeons’ Society report. World J Pediatr Congenit Heart Surg 2014; 5: 507–514.CrossRefGoogle ScholarPubMed