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Critical care for patients with congenital abnormalities of the coronary arteries*

Published online by Cambridge University Press:  16 December 2015

Saul Flores ,
Ryan A. Moore ,
Christopher J. Statile ,
Erik C. Michelfelder ,
Shawna G. Wanstrath ,
Timothy K. Knilans ,
David L. Morales  and
David S. Cooper
Saul Flores
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
Ryan A. Moore
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
Christopher J. Statile
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
Erik C. Michelfelder
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
Shawna G. Wanstrath
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
Timothy K. Knilans
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
David L. Morales
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
David S. Cooper*
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America
*
Correspondence to: Dr D. S. Cooper, MD, MPH, Cincinnati Children’s Hospital Medical Center, The Heart Institute, University of Cincinnati College of Medicine, 3333 Burnet Avenue, MLC 2003, Cincinnati, OH 45229, United States of America. Tel: 513-803-1801; Fax: 513-636-3847; E-mail: David.Cooper@cchmc.org
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Abstract

Congenital abnormalities of the coronary arteries in the absence of structural heart disease account for a small but interesting percentage of cardiac lesions in children. Their presentation may vary from incidental identification to aborted/sudden cardiac death. Patients with aborted sudden death episodes will require significant support if they develop extensive ischaemic myocardial injury. Ultimately, surgical repair should be carried out as soon as haemodynamic stability is attained and the neurological status is evaluated. The aims of this article were to provide a review of congenital abnormalities of the coronary arteries most commonly seen in children in the ICU as well as to review the current critical-care management thereof.

Keywords

Congenitalcoronary anomaliessudden cardiac deathcritical care
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1561 - 1566
Copyright
© Cambridge University Press 2015 

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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.

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