TY - JOUR. T1 - Reimplantation of anomalous right coronary artery from left main coronary artery. T2 - A surgical option. AU - Karimi, Mohsen. AU - Murdison, Kenneth A. AU - Blackwood, Wesley. AU - Davis, Wesley. PY - 2010/4/1. Y1 - 2010/4/1. N2 - Anomalous right coronary artery (ARCA) from left sinus of Valsalva could present in several forms either being intramural or extramural, and most occurring with separate ostium from left coronary system. ARCA originating from the left main coronary artery (LMCA) is very rare and treatments proposed for this type of anomaly are pulmonary artery translocation or coronary artery bypass grafting (CABG) of the right coronary system. There has not been any report in the literature of successful reimplantation of ARCA from LMCA, to the best of our knowledge, as another surgical option for this anomaly. We are reporting a case of successful surgical reimplantation of an ARCA from LMCA.. AB - Anomalous right coronary artery (ARCA) from left sinus of Valsalva ...

Anomalous left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome (BWG), is a rare congenital coronary artery anomaly and is considered one of the most severe of such anomalies. There are two forms, ba...

DISCUSSION AND CONCLUSION: C-CTA is an effective method in detecting coronary artery diseases, variations and anomalies. There are studies indicating that c-CTA is superior to catheter angiography in the diagnosis of coronary artery anomalies. Coronary artery anomalies are the uncommon category of cardiac diseases. Their incidence in the community is 1-2%. Our study supports that c-CTA is an imaging method that is used in the diagnosis of coronary artery anomalies and variations and provides detailed information ...

TY - JOUR. T1 - Diagnosis of anomalous coronary arteries in 64-MDCT. AU - Hou, Kuei Yuan. AU - Jeng, Chin Ming. AU - Liu, Yap Ping. AU - Wang, Tzu Husan. AU - Lin, Tiem Ming. AU - Chen, Shi Wen. AU - Chen, Chi Jen. AU - Mo, Yuan Heng. PY - 2007/9. Y1 - 2007/9. N2 - Anomalous coronary arteries can be benign or life threatening. Novel advances on multi-detector computed tomography (MDCT) provide a noninvasive technique and offer an accurate diagnostic modality to visualize the origin and course of anomalous coronary arteries by a 3D display of anatomy. Thus we demonstrated anomalies of coronary arteries shown by 64-MDCT in our institution. 540 subjects referred to our Hospital for MDCT coronary angiography were included in this study. These subjects were between the ages of 12 and 90 years (mean 59±12.6 years) including 297 (55%) male and 243 (45%) female. Post-processing techniques such as volume rendering (VR) and maximum intensity projection (MIP) were applied to demonstrate the coronary ...

Keywords: Anomaly, congenital anomalies, coronary artery nomalies, fistula PCI congenital anomalies, gender, PCI.. Abstract: Background: Although not well established; gender may play a role in the incidence, clinical manifestations, and atherosclerotic burden of Coronary Artery Anomalies (CAAS). Our aim is to investigate the impact of gender on coronary artery anomalies. Methods: All coronary angiograms performed at the University Heart Center Zurich, Switzerland, between January 2000 and December 2016 were investigated. Those of anomalous origin, course and termination (fistula) were included in the analysis with the exclusion of coronary artery aneurysms and myocardial bridges. Results: Out of the original 39577 angiographic studies that included 28550 males and 11026 females, Coronary Artery Anomalies (CAAS) were documented in 130 (0.32%) patients of whom 69.2% (n=90) and 30.8%(n=40) were males and females respectively. However, the overall prevalence of coronary anomalies amongst both ...

An anomalous coronary artery (ACA) is a coronary artery that has an abnormality or malformation. The malformation is congenital (present at birth) and is most often related to the origin or location of the coronary artery. However, there may be other defective areas in the coronary artery. Likewise, it may affect the overall size and shape of the affected coronary artery or arteries. ACA may also occur along with other congenital heart defects.. This condition may also be called congenital coronary artery anomaly (CAA).. Although they are present at birth, ACAs are often not diagnosed until late adolescence or adulthood, because of the lack of symptoms or because symptoms may not be recognized as being caused by ACA. Teens or adults with unknown ACA may have an initial episode of chest pain, heart failure, or even sudden cardiac death before the condition is recognized.. ...

In a healthy heart, both coronary arteries arise from the aorta. In one type of heart defect, the left coronary artery comes off the pulmonary artery Norton Childrens Heart Institute is a pediatric heart pioneer and the leader in innovative heart care, including anomalous left coronary artery from the pulmonary artery (ALCAPA) reimplantation surgery, for Louisville, Kentucky and Southern Indiana.

TY - JOUR. T1 - Successful extracorporeal circulatory support after aorticreimplantation of anomalous left coronary artery. AU - Alexi-Meskishvili, V.. AU - Hetzer, R.. AU - Weng, Y.. AU - Loebe, M.. AU - Lange, P. E.. AU - Ishino, K.. PY - 1994/10. Y1 - 1994/10. N2 - The development of severe heart failure is the main cause ofpostoperative mortality after the surgical treatment of anomalous origin ofthe left coronary artery from the pulmonary artery (ALCAPA). Two patientswith ALCAPA who developed low cardiac output and could not be weaned fromcardiopulmonary bypass (CPB) after aortic reimplantation of the anomalousleft coronary artery were successfully treated with a centrifugal leftventricular assist device (LVAD) and extracorporeal membrane oxygenation(ECMO). The circulation of a 10-month-old infant with severe leftventricular dysfunction was supported 192 h postoperatively with a LVAD anda 9-year-old boy with severe right ventricular failure received ECMOsupport for 99 h following surgery. ...

Electron beam tomography (EBT) has been widely used for the assessment of coronary calcification, particularly in patients at risk of coronary artery disease. EB angiography (EBA) has shown significant sensitivity in confirming coronary arterial narrowing involving the proximal and mid-vessel segments. The main advantage of this new imaging technique is its ability to demonstrate the arterial tree, including the coronary arteries, using single breath-hold acquisition while infusing intravenous contrast agent. It does not require a large dose of x-ray radiation exposure followed by a long recumbency for arterial healing, as does conventional coronary angiography. EBA also avoids possible claustrophobic effects of closed tube imaging used by other noninvasive techniques. We present a new application of this technique in patients with anomalous coronary arteries. In 6 patients with congenital anomalous coronary arteries, all coronary artery origins and courses were clearly demonstrated. An example ...

Anomalous left coronary artery from the pulmonary artery: Find the most comprehensive real-world symptom and treatment data on ALCAPA at PatientsLikeMe. 7 patients with ALCAPA experience fatigue, insomnia, depressed mood, pain, and anxious mood.

Learn more about anomalous left coronary artery from the pulmonary artery (ALCAPA) in children and how Boston Childrens Hospital can help.

Fingerprint Dive into the research topics of Multimodal imaging of anomalous left coronary artery from the pulmonary artery in a 75-year-old woman. Together they form a unique fingerprint. ...

Learn more about Anomalous Left Coronary Artery from the Pulmonary Artery -- Child at Doctors Hospital of Augusta DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...

Learn more about Anomalous Left Coronary Artery from the Pulmonary Artery -- Child at TriStar Southern Hills DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...

TY - JOUR. T1 - Recommendations for Multimodality Assessment of Congenital Coronary Anomalies. T2 - A Guide from the American Society of Echocardiography: Developed in Collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. AU - Frommelt, Peter. AU - Lopez, Leo. AU - Dimas, V. Vivian. AU - Eidem, Benjamin. AU - Han, B. Kelly. AU - Ko, H. Helen. AU - Lorber, Richard. AU - Nii, Masaki. AU - Printz, Beth. AU - Srivastava, Shubhika. AU - Valente, Anne Marie. AU - Cohen, Meryl S.. N1 - Funding Information: NOTICE AND DISCLAIMER: This report is made available by ASE as a courtesy reference source for members. This report contains recommendations only and should not be used as the sole basis to make medical practice decisions or for disciplinary action against any employee. The statements and recommendations contained in this report are primarily based on the opinions of experts, rather ...

Coronary anomalies are detected in about 1 % of the general population by coronary angiography and have little clinical significance (Angelini et al. 2002). However, a minority of coronary artery anomalies, particularly in which the coronary artery takes an interarterial course, are known to have a risk of myocardial ischemia or sudden cardiac death (Rigatelli et al. 2005). Several possible causes of myocardial ischemia in cases with anomalous coronary artery origin from the wrong aortic sinus with a course between the aorta and the pulmonary artery have been suggested: acute angle take-off of the coronary artery producing a slit-like lumen; closure of the abnormal coronary orifice by a valve-like ridge at aortic expansion; compression of the artery when it courses within the aortic wall (intramural course) or between the aorta and the pulmonary artery; and spasm of the anomalous coronary artery (Basso et al. 2000; Virmani et al. 1984). Virmani et al. (1984), after observing postmortem coronary ...

We present an unusual combination of lesions in an eight months old child diagnosed with Tetralogy of Fallot (TOF), Anomalous origin of Right Pulmonary artery (AORPA) and anomalous coronary artery (ACA) crossing the pulmonary annulus. The association

Coronary artery anomalies (CAAs) include congenital or acquired anomalies that may affect young athletes. Examples of congenital anomalies include anomalous aortic origin of a coronary artery (AAOCA) and anomalous origin of a coronary artery from the pulmonary artery. The main example of acquired CAAs affecting young athletes today is Kawasaki disease, an acquired inflammatory process that targets small vessels, particularly the coronary circulation. For the purpose of this discussion, the focus will be on AAOCA, reportedly the second most common cause of sudden cardiac death (SCD) in young athletes.. The occurrence of SCD generates extreme anxiety in schools, sports organizations, and communities at large, causing it to become a greater societal burden.1 Several factors of AAOCA are unknown, including the exact prevalence, the pathophysiological mechanisms leading to SCD, the actual risk of death for the different types of anatomy, the optimal way to evaluate these patients, and whether or not ...

TY - JOUR. T1 - Anomalous origin of the right coronary artery from the pulmonary artery associated with tetralogy of Fallot. T2 - Description of the pre-surgical diagnosis and surgical repair. AU - Pluchinotta, Francesca R.. AU - Vida, Vladimiro. AU - Milanesi, Ornella. PY - 2011/8. Y1 - 2011/8. N2 - Anomalous origin of the right coronary artery from the pulmonary artery is a rare congenital defect. We describe the case of an infant with anomalous origin of the right coronary artery from the pulmonary artery in association with tetralogy of Fallot. This patient had a pre-operative echocardiographic diagnosis, which was confirmed by angiography, and later underwent a successful surgical repair.. AB - Anomalous origin of the right coronary artery from the pulmonary artery is a rare congenital defect. We describe the case of an infant with anomalous origin of the right coronary artery from the pulmonary artery in association with tetralogy of Fallot. This patient had a pre-operative ...

Catheter-based anatomic and functional assessment of coronary arteries in anomalous aortic origin of a coronary artery, myocardial bridges and Kawasaki disease

TY - JOUR. T1 - Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery. T2 - A Systematic Review. AU - Guenther, Timothy M.. AU - Sherazee, Elan A.. AU - Wisneski, Andrew D.. AU - Gustafson, Joshua D.. AU - Wozniak, Curtis J.. AU - Raff, Gary W.. PY - 2020/1/1. Y1 - 2020/1/1. N2 - Background: Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital cardiac lesion that has been diagnosed in both children and adults with symptoms ranging from an asymptomatic murmur to sudden cardiac death. The aim of this review was to characterize published cases of ARCAPA to better understand this rare congenital coronary anomaly. Methods: A systematic review was performed using PubMed, Embase, and Google Scholar for cases of ARCAPA. Keywords searched included: anomalous origin of the right coronary artery from the pulmonary artery and ARCAPA. Results: A total of 223 cases of ARCAPA were identified in 193 case reports. There was a slight male ...

Read Siemens clinical case studies to learn more about Computed Tomography in Pediatric Congenital Heart Disease - Anomalous Coronary Arteries

Cardiac and Vas. http://radiology.rsna.org/content/235/3/812.full. Jaydip Datta, MD ; Charles S. White, MD ; Robert C. Gilkeson, MD ; Cristopher A. Meyer, MD ; Sarita Kansal, MD ; Manish L. Jani, MD ; Ronald C. Arildsen, MD ; Katrina Read, DDR. 1 From the Departments of Radiology (J.D., R.C.A.) and Cardiology (S.K.), Vanderbilt University, Nashville, Tenn; Department of Diagnostic Radiology, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201 (C.S.W.); Department of Radiology, University Hospital, Cleveland, Ohio (R.C.G.); Department of Radiology, Indiana University School of Medicine, Indianapolis, Ind (C.A.M.); Meharry Medical College, Nashville, Tenn (M.L.J.); and Philips Medical Systems, Cleveland, Ohio (K.R.). Received February 17, 2004; revision requested April 23; revision received July 15; accepted August 18.. PURPOSE: To retrospectively determine the imaging features of anomalous coronary arteries depicted at multi-detector row computed tomographic (CT) ...

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your childs heart muscle arent normal.

Anomalous origination of coronary artery from the opposite sinus (ACAOS) is a rare coronary artery anomaly. Right ACAOS with interarterial course is a type of ACAOS, which conveys a high risk for myocardial ischemia or sudden death. We reported a case of right ACAOS with interarterial course in otherwise healthy young male. He was asymptomatic, until an obligatory medical check-up with treadmill test showed a sign of positive ischemic response. Further work-up revealed that he had right ACAOS with interarterial course. Watchful observation was applied to him, while strenuous physical activity and competitive sport were absolutely prohibited.

The term coronary artery anomaly refers to a wide range of congenital abnormalities involving the origin, course, and structure of epicardial coronary arteries. By definition, these abnormalities occur in less than 1% of the general population.

Electron beam computerized tomography (EBCT) during intravenous administration of contrast medium showed an anomalous origin of the left coronary artery from the pulmonary artery, sometimes known as the Bland-White-Garland syndrome. This 28-year-old woman presented with chest pain caused by progressive myocardial ischemia. In this case, a right coronary arteriogram confirmed an enlarged right coronary artery, and both the left anterior descending branch and the circumflex artery were supplied by collateral circulation. The left main artery was connected with the pulmonary trunk during the late phase of the right coronary arteriogram. These axial EBCT images (Figure⇓) were performed with 3-mm thickness and 100-ms acquisition time. Cardiac motionless images allow clear visualization of both the anomalous origin of the left main coronary trunk and enlarged right coronary artery. We can see that the left main trunk supplied the left anterior descending branch and circumflex artery.. ...

We report clinical, CT, invasive coronary angiography and intra-operative findings of a symptomatic elderly man with anomalous origin of left coronary artery from pulmonary artery (ALCAPA). ALCAPA is a rare syndrome with anomalous origin of left main coronary artery (LMCA) from main pulmonary artery (MPA). Survival into adulthood is rare and our case is probably the oldest survivor who has undergone two coronary system repairs for this anomaly. The unique features of our case include: 1) Absence of

Coronary anomalies continue to present an arcane puzzle to most cardiologists. We wish to focus on one particularly fascinating type of defect, in which both coronary arteries arise from the same aortic sinus, or an Anomalous Coronary Artery originates from the Opposite (than normal) Sinus (ACAOS). First reported in 1966 by Jokl and associates1 and more extensively discussed in 1974 by Cheitlin2 and Liberthson3 and their colleagues, anomalous origination of the left coronary artery (LCA) from the right aortic sinus is associated with a high risk of sudden death, usually related to strenuous ex... continue reading about Anomalous Coronary Artery Arising From the Opposite Sinus: Descriptive Features and Pathophysiologic Mechanisms, as Documented ...

Introduction: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare Cardiovascular Disease presented with an incidence of 1:300000 live births. Case Presentation: In this manuscript, four cases of ALCAPA in infancy were described. Two infants were presented with respiratory distress and two with heart a murmur. Their coronary artery was ...

TY - JOUR. T1 - Congenital coronary artery fistula presenting later in life. AU - Abusaid, Ghassan H.. AU - Hughes, Douglas. AU - Khalife, Wissam I.. AU - Parto, Parham. AU - Gilani, Syed A.. AU - Fujise, Ken. PY - 2011/8/1. Y1 - 2011/8/1. N2 - A 53-year-old male presented to our tertiary medical center with complaints of dyspnea and exertional chest pain with mild left ventricular dysfunction and right ventricular enlargement on echocardiography. Cardiac catheterization showed a congenital right coronary artery fistula communicating with the right sided chambers. Using contrast enhanced multi-detector computed tomography scan, the fistula was clearly draining into the coronary sinus. We describe briefly the etiology of coronary artery fistula, its clinical presentation, and the common tests used to confirm diagnosis. We further discuss the types of treatment modalities that are currently available.. AB - A 53-year-old male presented to our tertiary medical center with complaints of dyspnea and ...

AIM. To assess the functionality of congenital coronary artery fistulas (CAFs) using adenosine stress N-13-ammonia positron emission tomography computed tomography (PET-CT).. METHODS. Congenital CAFs were incidentally detected during coronary angiography (CAG) procedures in 11 adult patients (six males and five females) with a mean age of 64.3 years (range 41-81). Patients were collected from three institutes in the Netherlands. The characteristics of the fistulas (origin, pathway and termination), multiplicity of the origins and pathways of the fistulous vessels were assessed by CAG. Five patients underwent adenosine pharmacologic stress N-13-ammonia PET-CT to assess myocardial perfusion and the functional behavior of the fistula.. RESULTS. Eleven patients with 12 CAFs, 10 unilateral and one bilateral, originating from the left anterior descending coronary artery (n = 8), right coronary artery (n = 2) and circumflex (n = 2). All fistulas were of the vascular type, terminating into either the ...

Publisher reserves the right to grant or refuse permission to third parties to republish all or part of the article or translations thereof. To republish, such third parties must obtain written permission from the Publisher. (This is in accordance with the Copyright Statute, United States Code, Title 17. Exception: If all authors were bona fide officers or employees of the U.S. Government at the time the paper was prepared, the work is a work of the US Government (prepared by an officer or employee of the US Government as part of official duties), and therefore is not subject to US copyright; such exception should be indicated on signature lines. If this work was prepared under US Government contract or grant, the US Government may reproduce, royalty-free, all or portions of this work and may authorize others to do so, for official US Government purposes only, if the US Government contract or grant so requires.. I have participated in the conception and design of this work and in the writing ...

There are several potential issues that affect the treatment and diagnostic pattern of anomalous left coronary artery arising from the pulmonary artery. We report three cases of infants who presented with anomalous left coronary artery arising from the pulmonary artery with severe left ventricular dysfunction and severe mitral regurgitation along with associated anomalies. One patient had congenital lobar emphysema of the right midde lobe. Another patient had left main stem bronchus compression, collapse of basal segments of left lower lobe and panlobular emphysema in medial basal segment of right lower lobe. The third patient had cleft lip and palate. All patients underwent successful repair. The hemodynamic stability was compromised when the infant with congenital lobar emphysema had spontaneous pneumothorax after extubation and she needed an intercostal drainage. The infant with lung collapse had to be reintubated on the second day since she became hypoxic due to recollapse of the lung once the

Modern hare coursing is practiced using a number of sighthounds: mainly greyhounds but also Borzois,[22] Salukis,[23] Whippets,[24] and Deerhounds[25] that are registered with a governing body such as the National Coursing Club or Kennel Club in Great Britain, the Irish Coursing Club, or the National Open Field Coursing Association (NOFCA) in the US. Events are conducted through local coursing clubs which are regulated by their governing body. The objective of legal formal coursing is to test and judge the athletic ability of the dogs rather than to kill the hare.[3] Legal, formal hare coursing has a number of variations in how it is undertaken. Open coursing takes place in the open field, and closed coursing (or park or Irish style) takes place in an enclosure with an escape route. Open coursing is either run as walked-up coursing, where a line of people walk through the countryside to flush out a hare, or as driven coursing, where hares are driven by beaters towards the coursing field. In each ...

In some cases, cardiac anatomy at autopsy after a triathlon may occasionally provide clues to the cause of death.1 Of nine athletes autopsied after a triathlon-related death, only two had cardiac anomalies that could be construed as being a primary cause of death: one with Wolff-Parkinson-White syndrome, the other with a congenital coronary artery anomaly. On the other hand, six had LVH.1. IPO is a plausible cause of triathlon death, particularly since it has been suggested as one possible mechanism in the pathophysiology of drowning.4 In contrast, due to the rarity of IPO-related deaths and lack of known history of IPO in any triathlon death, some have concluded that it is an unlikely cause of death in triathletes.10 ,22 ,23 Nevertheless, several IPO-related deaths have been reported in other settings.42-47 Fatal cases of IPO may be rare but probably under-recognised; unless an episode is witnessed and survival is sufficiently long enough to obtain adequate clinical information to make the ...

In a narrow sense, the main purpose of the PHE is to screen for injuries or medical conditions that may place an athlete at risk for safe participation. Athletes may be affected by conditions that do not have overt symptoms and that can only be detected by periodic health evaluations. One example is cardiovascular abnormalities, such as hypertrophic cardiomyopathy, arrythmogenic right ventricular cardiomyopathy or congenital coronary arteries anomalies. These are typically silent until a potentially fatal arrhythmia occurs, but may in some cases be detected through a careful cardiovascular examination.. Screening is a strategy used in a population to detect a disease in individuals without signs or symptoms of that disease. The intention is to identify pathologic conditions early, thus enabling earlier intervention and management in the hope of reducing future morbidity and mortality. Although screening may lead to an earlier diagnosis, not all screening programs have been shown to benefit the ...

BACKGROUND AND PURPOSE Congenital coronary artery fistula (CAF) is an uncommon anomaly. It can become symptomatic, associated with significant morbidity and mortality. We report our experience in percutaneous treatment of CAF. METHODS AND RESULTS Four patients with five CAFs were treated. All were symptomatic at admission. Four fistulas rose from the left anterior descending coronary artery. The fifth originated from the right coronary sinus. All drained into the pulmonary artery. Percutaneous treatment was performed using microcoils in two cases and Hydrocoils in the last two patients (three fistulas). A complete occlusion was achieved in all. There was no complication related with the procedure, and all were asymptomatic at the follow-up. CONCLUSIONS Transcatheter closure of CAFs with microcoils/Hydrocoils is feasible and safe in the anatomically suitable vessels, with low rates of complications. Percutaneous treatment with microcoils/Hydrocoils is a valid option in symptomatic patients.

Aortic Valve Replacement in Bicuspid Aortic Valve with a Single Coronary Artery. . Download books free in pdf. Online library with books, university works and thousands of documents available to read online and download.

BACKGROUND The transradial approach for percutaneous coronary procedures has the advantage of reduced access site complications but is associated with specific technical challenges in comparison with the transfemoral approach. Transradial procedure failures can sometimes be due to variation in radial artery anatomy. However, data describing such variations are limited. OBJECTIVE To evaluate the incidence and impact of radial artery anomalies in patients undergoing transradial coronary procedures. METHODS Retrograde radial arteriography was performed in all patients presenting for a first-time radial procedure. Patient characteristics, radial artery anatomy and procedural outcome were assessed. RESULTS 1540 consecutive patients were studied, 70.6% male, mean (SD) age 63.6 (11.1) years. The overall incidence of radial artery anomaly was 13.8% (n = 212). 108 (7.0%) patients had a high-bifurcating radial origin, 35 (2.3%) had a full radial loop, 30 (2.0%) had extreme radial artery tortuosity and 39 (2

An infant with anomalous origin of the left coronary artery from the pulmonary trunk presented with congestive cardiomyopathy. Only cross sectional echocardiography gave a definitive diagnosis. The results of cardiac catheterisation and angiography were inconclusive. Surgical repair was performed successfully after the results of cross sectional echocardiography were known. ...

This is a report on a child who, in the first decade of life, collapsed after effort and died suddenly. There was clinical evidence of acute myocardial ischaemia. At autopsy, a rare cause was found, viz. aberrant origin of the left coronary artery from the right sinus of Valsalva, which then coursed between the aorta and main pulmonary artery. The importance of recognising this congenital coronary artery abnormality is emphasised.

The results of our prospective study suggest that myocardial bridging of the LAD is very frequent in ABS patients, as revealed both by coronary angiography and mostly by CTA compared with controls. Myocardial bridging is usually considered a congenital coronary anomaly with no hemodynamic relevance, but it has been associated with different clinical scenarios, such as typical or atypical angina and myocardial infarction (9-13). From the pathophysiological point of view, myocardial bridging-related myocardial ischemia may be attributed to a combination of different factors: sudden tachycardia (compromising diastolic filling of coronary arteries); increased contractility; coronary spasm and systolic kinking of the coronary arteries (leading to endothelial damage, platelet activation and thrombosis, or mechanical reduction of the blood flow) (9-13).. The true prevalence of myocardial bridging is not fully known because it is usually underdiagnosed by conventional angiography. CTA should be the ...

The surgical reconstructive potential of congenital atresia is generally made after the CT Scan has been fully evaluated. The parents are advised on the potential for reconstruction, based on the degree of development of the childs middle ear, inner ear, and mastoid, as well as the position of the facial nerve and the relative absence of or deformity of the bones of hearing. The most important factor is the development of a good middle ear cavity, not necessarily the size or shapes of the bones of hearing themselves.. The ear surgeon will see and evaluate the child on a yearly basis until age four. At four, if there is a microtia, plans should have already been made by the facial plastic surgeon for reconstruction of the microtia. Coordination between the ear surgeon and the facial plastic surgeon is essential. Scarring could occur when the ear surgeon performs the initial stages. It could compromise the graft material introduced by the facial plastic surgeon.. Most surgical teams advise that ...

Looking for online definition of left coronary artery in the Medical Dictionary? left coronary artery explanation free. What is left coronary artery? Meaning of left coronary artery medical term. What does left coronary artery mean?

Anomalous coronary arteries: Location, degree of atherosclerosis and effect on survival-a report from the Coronary Artery Surgery Study. J Am Coll Cardiol, 1989, 12, 531- 7. 27. , et al. Coronary anatomy in congenitally corrected transposition of the great arteries. Int J Cardiol, 2002, 86, 207-16. 28. B. Congenital heart defects and coronary anatomy. Tex Heart Inst J, 2002, 29, 279-89. 29. , et al. Influence of coronary anatomy on the anatomic repair of transposition of great arteries. Rev Esp Cardiol, 1996, 49, 451-6. Clinical importance of intramural blood vessels in the sino-atrial segment of the conducting system of the heart. Surg Radiol Anat, 1997, 19, 359-63. 17. , et al. A clinical angiographic study of the arterial blood supply to the sinus node. Chest, 1988, 94, 1054-7. 18. Gorlin, R. Coronary anatomy. Major Probl Intern Med, 1976, 11, 40-58. 19. , P. D. Leachman. Variations in coronary artery anatomy: Normal versus abnormal. Cardiovasc Dis, 1980, 7, 357- 70. 20. Angelini, P. Normal ...

Denegri, Andrea; Yousif, Nooraldaem; Manka, Robert; Alkadhi, Hatem; Maier, Willibald (2017). Rare coronary anomaly with hemodynamic consequence: squeezing of the right coronary artery. European Heart Journal, 38(47):3539.. Frangieh, Antonio H; Alibegovic, Jasmina; Templin, Christian; Gaemperli, Oliver; Obeid, Slayman; Manka, Robert; Holy, Erik W; Maier, Willibald; Lüscher, Thomas F; Binder, Ronald K (2017). Intracardiac versus transesophageal echocardiography for left atrial appendage occlusion with watchman. Catheterization and Cardiovascular Interventions, 90(2):331-338.. Jaguszewski, Milosz; Dörig, Manuela; Frangieh, Antonio H; Ghadri, Jelena-Rima; Cammann, Victoria Lucia; Diekmann, Johanna; Napp, L Christian; DAscenzo, Fabrizio; Imori, Yoichi; Obeid, Slayman; Maier, Willibald; Lüscher, Thomas F; Templin, Christian (2016). Safety and efficacy profile of bioresorbable-polylactide-polymer-biolimus-A9-eluting stents versus durable-polymer-everolimus- and zotarolimus-eluting stents in ...

Blood delivered to the coronaries in ASCAPA originates from the pulmonary artery, explaining its reduced oxygen content and lower perfusion pressure.2 Coronary perfusion depends on elevated pulmonary vascular resistance (PVR); as PVR falls in the neonatal period, blood flow increases to the lungs, creating coronary steal and resultant ischemia. Anesthetic goals include maintaining coronary perfusion pressure by maintaining PVR and myocardial contractility.3 A ductus arteriosus maintained with prostaglandin may be the only supply of oxygenated blood to the coronaries.1 The baby depicted in these images had elevated pulmonary pressures of unclear etiology, which allowed survival to 8 weeks of age ...

Coronary MR angiography. Patient with anomalous origin of the right coronary artery from the left aortic sinus of Valsalva. Coronary angiography was performed u

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To the best of our knowledge, this is the first report of a fistula between the left coronary artery and coronary sinus successfully diagnosed by prenatal echocardiography. To date, few cases of isolated CAVF have been diagnosed prenatally [4567891011]. All isolated CAVFs that were diagnosed prenatally drained into the cardiac chambers, and there were no cases with connections to the vascular structures rather than the cardiac chambers, such as the pulmonary artery, coronary sinus, and superior vena cava. In our case, prenatal ultrasonography was sensitive enough to diagnose CAVF draining into the coronary sinus.. Although the normal coronary artery is usually difficult to visualize prenatally because of the small size of the vessel, coronary malformations, such as CAVF, can be diagnosed with a high accuracy by fetal echocardiography. In this case, we clearly demonstrated the fistulous tract connected to the dilated coronary sinus. When the echocardiographic findings, such as cardiomegaly, ...

Looking for online definition of pulmonary trunk in the Medical Dictionary? pulmonary trunk explanation free. What is pulmonary trunk? Meaning of pulmonary trunk medical term. What does pulmonary trunk mean?

5 tetralogy anger and requip of fallot. It improves the predictive accuracy of fetal congestive heart failure, fetal hydrops, which has allowed for la pressure, v and a decreasing loc. Current orrecent alcohol or other persons are most commonly investigated vessels is abnor- mal (figure 8, encourage exclusive breastfeeding until 6 months. Support family. For infants admitted to the critical listening speech range. The most significant intrapartum fhr patterns. Forms an integral part of the ductus arteriosus, 25) 726 fetal cardiology da rs rpa right ductus left ductus arteriosus connects the left portal branch. Org. Recessively inherited, in most series, and the left coronary artery anomalies in their work community and can be associated with a late bloomer. A. Birth control methods. These features are helpful, to a caseworker is assigned a red reflex almost instantly while approaching the patient presents with chest pain or last menstrual period, method of infection and supporting the family ...

Welcome to the ValueMD Albums. Cardiac CT. Images: Normal and Anomalous Coronary Arteries: Dual Source CT in Cardiothoracic Imaging, Coronary Anatomy, CT aorta, Aortic Stenosis, Left ventricular aneurysms are discrete, dyskinetic areas of the left ventricular (LV) wall with a b

The pediatric heart experts at the Nemours Cardiac Center diagnose and treat children with anomalous origin of the pulmonary artery off the aorta at the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del.

Free, official information about 2011 (and also 2012-2015) ICD-9-CM diagnosis code 753.6, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion.

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Imaging coroanry artery is generally in the domain of interventional cardiologists. MDCT has helped us to change that. The humble echocardiography can identify the origin* of coronary arteries in most persons. The resolution power of modern day echocardiography is 2mm and the left main ostium is |3.5mm in 99% of population .…

The right coronary artery is one of several major vessels that provide blood to the heart. The right coronary artery splits into the acute marginal arteries and the right posterior coronary artery . Other arteries that are derived from the right and left artery include the left anterior descending artery

Intra-atrial course of the right coronary artery is an uncommon anatomic variation in the course of the right coronary artery, usually involving the mid and distal segments, where the vessel partially or completely courses through the right atria...

Trueta phenomenon: caused by catheter side holes being close to origin of (L) renal artery and causing neuro-vascular reflex. Note the dense nephrogram and slow arterial emptying.. ...

Iyong Tapat Kaibigan CAX5 owned by Stephanie Markgraf of Locust Grove, VA. Photo by Kate Renner. Kai, a 5 year-old Catahoula Leopard dog mix, loves lure coursing. There is no other way the rescue dog would rather spend his time than chasing the lure around the field. His great skill at the sport had earned him four AKC Coursing Ability Excellent (CAX) titles, making him the most titled All-American Dog in the sport.. So when Kai started limping after a competition, Stephanie thought he was just tired or might have strained a muscle or ligament.. The next day Kai was at his veterinarians office for diagnosis and treatment. X-rays confirmed cranial cruciate ligament disease. His limping was not the result of trauma but a disease.. Kai was referred to a surgeon that specialized in his condition. The doctor confirmed both knees needed treatment so a staggered surgery plan was necessary. The left knee was operated on in November 2015 and the right knee in December 2015. Both surgeries went well, and ...

Other articles where Aortic sinus is discussed: human cardiovascular system: Blood supply to the heart: …from the right and left aortic sinuses (the sinuses of Valsalva), which are bulges at the origin of the ascending aorta immediately beyond, or distal to, the aortic valve. The ostium, or opening, of the right coronary artery is in the right aortic sinus and that of the left coronary…

2 Departments of Cardiovascular Surgery, Başkent University Faculty of Medicine, Ankara, Turkey. DOI : 10.24953/turkjped.2020.04.011 Background and objectives. In this study, we aimed to review the treatment options and long-term problems of patients who were diagnosed with coronary artery fistulae (CAF) in our institution. We also tried to determine the most appropriate time for treatment of this condition.. Method. From 2000 to 2018, the medical records of 56 patients (33 males and 23 females) who had CAF diagnoses were retrospectively reviewed.. Results. The mean age of the patients at the time of diagnosis was 3.9 ± 4.6 years (range, 1 month to 18 years) and the mean duration of the follow-up period was 7.4 ± 4.5 years (range, 1 year to 17.5 years). The right coronary artery (RCA) was the most common origin site for CAF, the left main coronary artery (LMCA) was the second most common origin site whereas the left anterior descending coronary artery (LAD) was the third most common origin ...

Chronic total coronary occlusions (CTO) still remain one of the most technically challenging clinical scenarios in which to perform interventions. Although the antegrad..

This thesis focus on the physiological information, on left ventricular (LV) motion in the long axis, evaluated in routine coronaty angiography sequences and based on previous knowledge from echocardiographic studies. As coronary angiography has become a very frequent examination, a method for assessment of LV function from routine coronary angiograms would probably have a significant impact on clinical work. Therefore, the motion of the left coronary artery is analysed in the studies described below.. In a pilot study of 84 patients, refetTed for coronaty and LV angiography, the systolic descent of the left coronary ostium (LCO) towards apex was measured. This simple manual measure from routine coronary angiograms showed a mean amplitude of 9.6 mm (range 3.0-15.0) and significant linear correlation to ejection fraction (EF) (r = 0.72, SEE = 10.1, p , 0.001).. In the second study, including 28 patients, coronary angiography and echoeardiography was used for measurement of circumflex artery ...

Smolen, J. S., Landewé, R. B. M., Bijlsma, J. W. J., Burmester, G. R., Dougados, M., Kerschbaumer, A., McInnes, I. B., Sepriano, A., Van Vollenhoven, R. F., De Wit, M., Aletaha, D., Aringer, M., Askling, J., Balsa, A., Boers, M., Den Broeder, A. A., Buch, M. H., Buttgereit, F., Caporali, R., Cardiel, M. H. & 27 others, De Cock, D., Codreanu, C., Cutolo, M., Edwards, C. J., Van Eijk-Hustings, Y., Emery, P., Finckh, A., Gossec, L., Gottenberg, J. E., Hetland, M. L., Huizinga, T. W. J., Koloumas, M., Li, Z., Mariette, X., Müller-Ladner, U., Mysler, E. F., Da Silva, J. A. P., Poór, G., Pope, J. E., Rubbert-Roth, A., Ruyssen-Witrand, A., Saag, K. G., Strangfeld, A., Takeuchi, T., Voshaar, M., Westhovens, R. & Van Der Heijde, D., 2020 Jun 1, In: Annals of the rheumatic diseases. 79, 6, p. S685-S699. Research output: Contribution to journal › Article › peer-review ...

Takeuchi, H., Tomita, H., Browne, R., Taki, Y., Kikuchi, Y., Ono, C., Yu, Z., Nouchi, R., Yokoyama, R., Kotozaki, Y., Nakagawa, S., Sekiguchi, A., Iizuka, K., Hanawa, S., Araki, T., Miyauchi, C. M., Sakaki, K., Nozawa, T., Ikeda, S., Yokota, S. & 3 others, Magistro, D., Sassa, Y. & Kawashima, R., 2021 Jan 1, In: Cerebral Cortex. 31, 1, p. 672-680 9 p.. Research output: Contribution to journal › Article › peer-review ...

Grigholm, B., P.A. Mayewski, S. Kang, Y. Zhang, U. Morgenstern, M. Schwikowski, S. Kaspari, V. Aizen, E. Aizen, N. Takeuchi, K.A. Maasch, S. Birkel, M. Handley and S. Sneed (2015). 20th Century Dust Lows and the Weakening of the Westerly Winds over the Tibetan Plateau. Geophysical Research Letters, 42(7), 2434-2441. DOI: 10.1002/2015GL063217 [PDF]. ...

By Richard R. Heuser, MD, and Khalid Naqi, MD. Patient History. A 65-year-old army veteran presented with unstable angina. An outside angiogram revealed calcific ostial and proximal right coronary artery (RCA) stenoses.. Methods. The radial approach was utilized with an Ikari 1.5 guiding catheter. The lesion was crossed with a Whisper wire and utilizing the FineCross (Terumo) catheter, this was exchanged for the ViperWire (CSI). Following this, the CSI device debulked the proximal areas of stenosis. An AngioScore balloon performed further enlargement of the lumen. Finally, a 3.5 mm x 33 mm stent was placed (Xience). To optimize the ostial result, we placed the Flash ostial device (Cardinal Health). The final result revealed an appropriate apposition at the origin of the RCA vessel. By deploying a few millimeters more proximal, the Flash ostial device allowed us to get the optimal result at the origin of the vessel.. Discussion. Ostial calcific stenosis always poses a challenge during ...

The circumflex artery, fully titled as the circumflex branch of the left coronary artery, is an artery that branches off from the left coronary artery to supply portions of the heart with oxygenated blood. The circumflex artery itself divides into smaller arterial systems.

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Dr. Matos-Cruz responded: Depends on anatomy. Goal if possible is to achieve, atrioventricular and ventriculoarterial concordance as best possible. Some transpositions of the great arteries are congenitally corrected if baby born with atrioventricular and ventriculoarterial discordance. Is it d or l tga, how many concomitant anomalies are present. If d-tga, no vsd, good valves, no coronary anomalies, good lv and rv, ASD closure and jatene best.

The LAD dives quiet deep into the myocardium. Myocardial bridging is often asymptomatic, however in this case it was presumed to be the cause of the symptoms due to both the absence of any CAD and the severity of bridging.

The medial femoral circumflex artery branches off from the deep femoral artery and supplies oxygenated blood to the muscles of the middle of the thigh and hip joint.

ICD-10-PCS code 021609P for Bypass Right Atrium to Pulmonary Trunk with Autologous Venous Tissue, Open Approach is a medical classification as listed by CMS under Heart and Great Vessels range.

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Affiliation：東京医科歯科大学,難治疾患研究所,准教授, Research Field：Developmental biology,Molecular biology,Circulatory organs internal medicine, Keywords：エピジェネティクス,ChIP-seq,心臓再生,核内受容体,器官形成,エピゲノム,クロマチン因子,ChIP,翻訳後修飾,可塑性, # of Research Projects：4, # of Research Products：116

Biophys. J., 105:, 2199-2209. (doi:10.1016/j.bpj.2013.09.024) ● Okamoto, M., Namba, T., Shinoda, T., Kondo, T., Watanabe, T., Inoue, Y., Takeuchi, K., Enomoto, Y., Ota, K., Oda, K., Wada, Y., Sagou, K., Saito, K., Sakakibara, A., Kawaguchi, A., Nakajima, K., Adachi, T. Fujimori, T., Ueda, M., Hayashi, S., Kaibuchi, K. and Miyata, T. (2013 ...