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The coronaries are the first branches of the ascending aorta. They arise from their respective sinuses of Valsalva, and gradually branch distally to the myocardium.
Abnormalities of the coronary arteries, either congenital or acquired, can be characterized as a lack of origin, abnormal origin, anomalous course, lack of patency, abnormal connections, and/or abnormal drainage of the coronary vessels. Interruptions to or lack of flow can cause significant morbidity and mortality due to ischemia, infarction and fistulous connections, which can lead to cardiac failure, endocarditis and ischemia.
Coronary artery anomalies are rare in general populations. Although they can be benign and asymptomatic, they can also be malignant due to their origin and course and can cause sudden cardiac death. As such, an understanding of how to analyze, diagnose and treat them is vital.
This book presents the latest advances in congenital anomalies of coronary arteries. It offers a comprehensive overview of the field, including illustrative angiograms and diagrams that demonstrate all possible anomalies and clarify what is abnormal, and also provides practical insights to guide practitioners in their everyday practice.
Pages i-viii
Front Matter
Pages 1-1
The Development of the Coronary Arteries
Pages 3-17
Congenital Anomalies of Coronary Arteries: Anatomy, Embryology and Risk of Sudden Death
Pages 19-36
Normal Coronary Flow Physiology
Pages 37-44
Pages 45-56
Isolated Coronary Artery Fistulas
Pages 57-66
Coronary Artery Abnormalities Associated to Congenital or Non-congenital Heart Disease
Pages 67-74
Anomalous Origin of the Coronary Arteries from the Pulmonary Artery: ALCAPA and ARCAPA
Pages 75-83
Coronary Artery Anomalies: An Updated Discussion on Nomenclature, Pathophysiology, and Screening
Pages 85-94
Front Matter
Pages 95-95
Role of Patient History and Non-invasive Tests in the Workflow of Patients
Pages 97-112
Advanced Imaging in Congenital Abnormalities of Coronary Arteries in Children
Pages 113-130
Role of Invasive and Provocative Tests
Pages 131-151
Pediatric Patients: Role of Invasive and Provocative Tests
Pages 153-169
AAOCA in Young Athlete: How to Detect, What to Do, When to Allow Coming Back to Competitive Sport?
Pages 171-185
Sudden Death: Differential Diagnosis and AOCA
Pages 187-193
Pages 195-202
Front Matter
Pages 203-203
How Computational Model May Help in Mechanism Understanding?
Pages 205-215
Computational Modeling for Decision Making
Pages 217-227
Anomalous Aortic Origin of Coronary Arteries Data from the Registries
Pages 229-240
Pages 241-250
Pages 251-264
Pages 265-274
Postoperative Complications and Outcomes After AAOCA Repair
Pages 275-280
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