Abstract
The pediatric and congenital cardiologist may encounter a variety of congenital and acquired coronary artery anomalies. Exercise testing, in combination with stress-imaging modalities, can be of value in the assessment of some of these patients. However, the pathophysiology of the myocardial ischemia that results from these lesions may differ from that encountered in typical adult-type coronary artery disease and clinical experience with these rare disorders is limited. Consequently, the ability of exercise testing to accurately identify myocardial ischemia in pediatric patients is currently imperfect. The limitations of this technology must be recognized and appreciated.
Author supplied keywords
- Anomalous aortic origin of a coronary artery (AAOCA)
- Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA)
- Coronary anomalies
- Coronary artery disease (CAD)
- Coronary artery fistulae
- Intraluminal coronary artery obstruction
- Ischemic cascade
- Kawasaki’s disease
- Myocardial ischemia
- Postoperative coronary arteries
Cite
CITATION STYLE
Huang, J., & Shafer, K. M. (2019). Coronary Anomalies. In Exercise Physiology for the Pediatric and Congenital Cardiologist (pp. 179–185). Springer International Publishing. https://doi.org/10.1007/978-3-030-16818-6_24
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