Coronary Artery Anomalies: Diagnosis & Management.

Autor:	Chandrasekhar S; From the Division of Internal Medicine, Emory University School of Medicine, Atlanta, GA., Woods E; From the Division of Internal Medicine, Emory University School of Medicine, Atlanta, GA., Bennett J; From the Division of Internal Medicine, Emory University School of Medicine, Atlanta, GA., Newman N; From the Division of Internal Medicine, Emory University School of Medicine, Atlanta, GA., McLean P; From the Division of Internal Medicine, Emory University School of Medicine, Atlanta, GA., Alam M; Cardiology Division, The Texas Heart Institute, Baylor College of Medicine, Houston, TX., Jneid H; John Sealy Distinguished Centennial Chair in Cardiology, Chief, Division of Cardiology, University of Texas Medical Branch, Houston, TX., Sharma S; Department of Cardiology, Mount Sinai Hospital, New York, NY., Khawaja M; Cardiology Division, Emory University School of Medicine, Atlanta, GA., Krittanawong C; Cardiology Division, NYU Langone Health and NYU School of Medicine, New York, NY.
Jazyk:	angličtina
Zdroj:	Cardiology in review [Cardiol Rev] 2024 Sep 23. Date of Electronic Publication: 2024 Sep 23.
DOI:	10.1097/CRD.0000000000000786
Abstrakt:	Coronary artery anomalies encompass a spectrum of congenital abnormalities affecting the origin, course, or termination of the major epicardial coronary arteries. Despite their rarity, coronary artery anomalies represent a significant burden on cardiovascular health due to their potential to disrupt myocardial blood flow and precipitate adverse cardiac events. While historically diagnosed postmortem, the widespread availability of imaging modalities has led to an increased recognition of coronary artery anomalies, particularly in adults. This review synthesizes current knowledge on the classification, mechanisms, and clinical implications of coronary anomalies, focusing on prevalent variants with significant clinical impact. We discuss strategies for medical and surgical management, as well as contemporary screening recommendations, acknowledging the evolving understanding of these anomalies. Given the breadth of possible variants and the limited data on some presentations, this review provides a framework to aid clinicians in the recognition and management of coronary anomalies, with a particular emphasis on their stratification by anatomical location. By consolidating existing knowledge and highlighting areas of uncertainty, this review aims to enhance clinical decision-making and improve outcomes for individuals with coronary anomalies. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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