Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 November 2001

Anomalies of the coronary arteries in children.

B Werner, M Wróblewska-Kałuzewska, M Pleskot, A Tarnowska, K Potocka

Med Sci Monit 2001; 7(6): CR1285-1291 :: ID: 736217


BACKGROUND: Anomalies of the coronary arteries in children occur very rarely. Congenital coronary anomalies may be isolated, or they may accompany other congenital heart defects, such as Fallot's Syndrome, transposition of the great arteries, or pulmonary atresia. The most common cause of acquired abnormalities of the coronary vessels in children is Kawasaki Disease. The purpose of the present study is to analyze the clinical picture and diagnostic methodology for coronary anomalies in children. MATERIAL AND METHODS: In 62,320 children a routine echocardiographic assessment was made of the ostium and the course of the initial segment of the coronary arteries. Anomalies of the coronary arteries were found in 29 children, ranging in age from 1 day to 12 years. In 25 of these cases the diagnosis was established on the basis of two-dimensional echocardiography with Doppler flow mapping, confirmed in 16 cases by aortography. In 3 children with Fallot's Syndrome and in 1 child with common arterial trunk, the coronary anomalies were found in angiocardiography. RESULTS: Isolated abnormalities of the coronary vessels were found in 18 children, including 13 cases of anomalous left coronary artery from the pulmonary artery, 1 case of anomalous right coronary artery from the pulmonary artery, and four cases of coronary fistula. In 9 children anomalies of the coronary arteries accompanied other congenital heart defects: 4 children with Fallot's Syndrome were found to have left descending coronary artery arising from the right coronary artery; 1 child with a common arterial trunk was diagnosed with anomalous common origin of coronary arteries; 3 children with transposition of the great arteries were found to have coronary anomalies (including 2 cases of anomalous circumflex branch from the right coronary artery, and 1 case of intramural course of the left coronary artery), and one child with pulmonary atresia was found to have coronary fistulas. Of the 2 children with Kawasaki Disease, one was diagnosed with an aneurysm in the left coronary artery, and the other with dilatation of the coronary arteries. The infants with abnormal divergence of the left coronary artery showed clinical and electrocardiographic signs of myocardial ischemia, while the newborns with fistulas presented with symptoms of circulatory insufficiency. These children required emergency surgical treatment. CONCLUSIONS: The clinical picture of children with anomalies of the coronary vessels may be heterogeneous, ranging from a lack of symptoms to very acute, even life-threatening symptoms. Infants with anomalous left coronary artery from the pulmonary artery and with hemodynamically significant fistulae require emergency surgical treatment. Echocardiographic examination enables the diagnosis of anomalies of the coronary arteries. In the majority of cases an aortography test is necessary before the patient is referred for surgery.

Keywords: Adolescent, Arteries - abnormalities, Arteries - ultrasonography, Child, Child, Child, Preschool, Coronary Vessel Anomalies - ultrasonography, Heart Defects, Congenital - classification, Heart Defects, Congenital - ultrasonography, Infant, Newborn

Add Comment 0 Comments

448 22


01 May 2023 : Editorial  

Editorial: Twenty Years On from Sequencing the Human Genome, Personalized/Precision Oncology Prepares to Meet the Challenges of Checkpoint Inhibitor Therapy

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.940911

Med Sci Monit 2023; 29:e940911


In Press

31 May 2023 : Review article  

Prevalence, Diagnosis, and Management of Eclampsia and the Need for Improved Maternal Care: A Review

Med Sci Monit In Press; DOI: 10.12659/MSM.939919  

30 May 2023 : Clinical Research  

A Case-Control Study of Cognitive Function in Patients with End-Stage Renal Disease Before and After Hemodi...

Med Sci Monit In Press; DOI: 10.12659/MSM.940409  

30 May 2023 : Review article  

A Review of the Role of the Zebrafish (Danio reiro) in Preclinical and Clinical Models of Biomarker Identif...

Med Sci Monit In Press; DOI: 10.12659/MSM.940550  

30 May 2023 : Database Analysis  

The COVID-19 Crisis and the Incidence of Alcohol-Related Deaths in Poland

Med Sci Monit In Press; DOI: 10.12659/MSM.940904  

Most Viewed Current Articles

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788


30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750