Hostname: page-component-848d4c4894-tn8tq Total loading time: 0 Render date: 2024-06-19T09:21:24.109Z Has data issue: false hasContentIssue false

Surgical management of congenital coronary arterial anomalies in adults

Published online by Cambridge University Press:  01 December 2010

Sameh M. Said
Affiliation:
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, United States of America
Joseph A. Dearani*
Affiliation:
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, United States of America
Harold M. Burkhart
Affiliation:
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, United States of America
Hartzell V. Schaff
Affiliation:
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, United States of America
*
Correspondence to: Dr J. A. Dearani, MD, Division of Cardiovascular Surgery, Mayo Clinic Medical School, 200 First Street SW, Rochester, Minnesota 55905, United States of America. Tel: (507) 255 2034; Fax: (507) 255 7378; E-mail: jdearani@mayo.edu

Abstract

Congenital anomalies of the coronary arteries are an uncommon, but important, cause of pain in the chest, myocardial ischaemia and even sudden cardiac death, especially in young individuals. This paper focuses on the surgical treatment of congenital anomalies of the coronary arteries in adults; indications for surgery and the different surgical options will be reviewed.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Angelini, P, Velasco, JA, Flamm, S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002; 105: 24492454.CrossRefGoogle ScholarPubMed
2.Greenberg, MA, Fish, BG, Spindola-Franco, H. Congenital anomalies of coronary artery: classification and significance. Radiol Clin North Am 1989; 27: 11271146.CrossRefGoogle ScholarPubMed
3.Reagan, K, Boxt, LM, Katz, J. Introduction to coronary arteriography. Radiol Clin North Am 1994; 32: 419433.CrossRefGoogle ScholarPubMed
4.Vlodaver, Z, Neufeld, HN, Edwards, JE. Pathology of coronary disease. Semin Roentgenol 1972; 7: 376394.CrossRefGoogle ScholarPubMed
5.Van Geuns, RJ, Cademartiri, F. Anatomy of the coronary arteries and vein in CT imaging. In Schoepf UJ, ed. CT of the Heart. Totowa, NJ, Humana, 2005: 219228.CrossRefGoogle Scholar
6.Danias, PG, Stuber, M, McConnell, MV, Manning, WJ. The diagnosis of congenital coronary anomalies with magnetic resonance imaging. Coron Artery Dis 2001; 12: 621626.CrossRefGoogle ScholarPubMed
7.Greenberg, MA, Fish, BG, Spindola-Franco, H. Congenital anomalies of coronary artery: classification and significance. Radiol Clin North Am 1989; 27: 11271146.CrossRefGoogle ScholarPubMed
8.Ropers, D, Gehling, G, Pohle, K, et al. Anomalous course of the left main or left anterior descending coronary artery originating from the right sinus of Valsalva identification of four common variations by electron beam tomography. Circulation 2002; 105: e42e43.CrossRefGoogle ScholarPubMed
9.Virmani, R, Chun, PKC, Goldstein, RE, et al. Acute takeoffs of the coronary arteries along the aortic wall and congenital coronary ostial valve-like ridges: association with sudden death. J Am Coll Cardiol 1984; 3: 766771.CrossRefGoogle Scholar
10.Angelini, P. Coronary artery anomalies – current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines. Tex Heart Inst J 2002; 29: 271278.Google ScholarPubMed
11.Zeppilli, P, dello Russo, A, Santini, C, et al. In vivo detection of coronary artery anomalies in asymptomatic athletes by echocardiographic screening. Chest 1998; 114: 8993.CrossRefGoogle ScholarPubMed
12.Liberthson, RR, Dinsmore, RE, Fallon, JT. Aberrant coronary artery origin from the aorta: report of 18 patients, review of literature and delineation of natural history and management. Circulation 1979; 59: 748754.CrossRefGoogle ScholarPubMed
13.Davis, JA, Cecchin, F, Jones, TK, Portman, MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol 2001; 37: 593597.CrossRefGoogle Scholar
14.Brothers, JA, Stephens, P, Gaynor, JW, et al. Anomalous aortic origin of a coronary artery with an interarterial course: should family screening be routine? J Am Coll Cardiol 2008; 51: 20622064.CrossRefGoogle ScholarPubMed
15.Frommelt, PC, Frommelt, MA, Tweddell, JS, Jaquiss, RDB. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol 2003; 42: 148154.CrossRefGoogle ScholarPubMed
16.Rodefeld, MD, Casey, B, Culbertson, CB, et al. Pulmonary artery translocation: a surgical option for complex anomalous coronary artery anatomy. Ann Thorac Surg 2001; 72: 21502152.CrossRefGoogle ScholarPubMed
17.Gulati, R, Reddy, VM, Culbertson, C, et al. Surgical management of coronary artery arising from the wrong coronary sinus, using standard and novel approaches. J Thorac Cardiovasc Surg 2007; 134: 11711178.CrossRefGoogle ScholarPubMed
18.Alphonso, N, Anagnostopoulos, PV, Nölke, L, et al. Anomalous coronary artery from the wrong sinus of valsalva: a physiologic repair strategy. Ann Thorac Surg 2007; 83: 14721476.CrossRefGoogle ScholarPubMed
19.Romp, RL, Herlong, R, Landolfo, CK, et al. Outcome of unroofing procedure for repair of anomalous aortic origin of left or right coronary artery. Ann Thorac Surg 2003; 76: 589596.CrossRefGoogle ScholarPubMed
20.Davies, JE, Burkhart, HM, Dearani, JA, et al. Surgical management of anomalous aortic origin of a coronary artery. Ann Thorac Surg 2009; 88: 844847.CrossRefGoogle ScholarPubMed
21.Brothers, JA, McBride, MG, Seliem, MA, et al. Evaluation of myocardial ischemia following surgical repair of anomalous aortic origin of a coronary artery in a series of pediatric patients. J Am Coll Cardiol 2007; 50: 20782082.CrossRefGoogle Scholar
22.Rinaldi, RG, Carballido, J, Giles, R, et al. Right coronary artery with anomalous origin and slit ostium. Ann Thorac Surg 1994; 58: 828832.CrossRefGoogle ScholarPubMed
23.Angelini, P, Villason, S, Chan, A, et al. Normal and anomalous coronary arteries in humans. In Coronary artery anomalies, a comprehensive approach, 1st EditionPhiladelphiaLippincott, Williams, and Wilkins; 1999, pp 27151.Google Scholar
24.Sajja, LR, Farooqi, A, Shaik, MS, et al. Dual left anterior descending coronary artery: surgical revascularization in 4 patients. Tex Heart Inst J 2000; 27: 292296.Google ScholarPubMed
25.Bland, EF, White, PD, Garland, J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J 1933; 8: 787801.CrossRefGoogle Scholar
26.Alexi-Meskishvili, V, Berger, F, Weng, Y, et al. Anomalous origin of the left coronary artery from the pulmonary artery in adults. J Card Surg 1995; 10: 309315.CrossRefGoogle ScholarPubMed
27.Takeuchi, S, Imamura, H, Katsumoto, K, et al. New surgical method for repair of anomalous left coronary artery from the pulmonary artery. J Thorac Cardiovasc Surg 1979; 78: 711.CrossRefGoogle Scholar
28.Cochrane, AD, Coleman, DM, Davis, AM, et al. Excellent long-term functional outcome after an operation for anomalous left coronary artery from the pulmonary artery. J Thorac Cardiovasc Surg 1999; 117: 332342.CrossRefGoogle ScholarPubMed
29.Metras, D, Kreitmann, B, Habib, G, Riberi, A, Yao, JG, Ross, DN. False aneurysm: a rare and potential severe complication after pulmonary autograft operation. J Heart Valve Dis 1996; 5: 414417.Google ScholarPubMed
30.Shahid, MS, Al-Halees, Z, Khan, SM, et al. Aneurysms complicating pulmonary autograft procedure for aortic valve replacement. Ann Thorac Surg 1999; 68: 18421843.CrossRefGoogle ScholarPubMed
31.Slater, M, Shen, I, Welke, K, et al. Modification to the Ross procedure to prevent autograft dilatation. Semin Thorac Cardiovasc Surg 2005; 8: 181184.CrossRefGoogle Scholar
32.Chen, JS, Lin, CL. Myocardial bridging. Tzu Chi Med J 2003; 15: 357362.Google Scholar
33.Tio, RA, Van Gelder, IC, Boonstra, PW, Crijns, HJ. Myocardial bridging in a survivor of sudden cardiac near-death: role of intracoronary Doppler flow measurements and angiography during dobutamine stress in the clinical evaluation. Heart 1997; 77: 280282.CrossRefGoogle Scholar
34.Amoroso, G, Battolla, L, Gemignani, C, et al. Myocardial bridging on left anterior descending coronary artery evaluated by multidetector computed tomography. Int J Cardiol 2004; 95: 335337.CrossRefGoogle ScholarPubMed
35.Irvin, RG. The angiographic prevalence of myocardial bridging in man. Chest 1982; 41: 337347.Google Scholar
36.Channer, K, Bukis, E, Hartnell, G, Rees, JR. Myocardial bridging of the coronary arteries. Clin Radiol 1989; 40: 355359.CrossRefGoogle ScholarPubMed
37.Ferreira, AG Jr, Trotter, SE, Konig, B Jr, Decourt, LV, Fox, K, Olsen, EG. Myocardial bridges: morphological and functional aspects. Br Heart J 1991; 66: 364367.CrossRefGoogle ScholarPubMed
38.Mohlenkamp, S, Hort, W, Ge, J, Erbel, R. Update on myocardial bridging. Circulation 2002; 106: 26162622.CrossRefGoogle ScholarPubMed
39.Gurewitch, J, Gotsman, MS, Rozenman, Y. Right ventricular myocardial bridge in a patient with pulmonary hypertension- a case report. Angiology 1999; 50: 345347.CrossRefGoogle Scholar
40.Noble, J, Bourassa, MG, Petitclerc, R, Dyrda, I. Myocardial bridging and milking effect of the left anterior descending coronary artery: normal variant or obstruction. Am J Cardiol 1976; 37: 993999.CrossRefGoogle ScholarPubMed
41.Grondin, P, Bourassa, MG, Noble, J, et al. Successful course after supra-arterial myotomy for myocardial bridging and milking effect of the left anterior descending coronary artery. Ann Thorac Surg 1977; 24: 422429.CrossRefGoogle Scholar
42.Xiao-hong, H, Shui-yun, W, Jian-ping, XU, et al. Surgical outcome and clinical follow-up in patients with symptomatic myocardial bridging. Chin Med J 2007; 120 18: 15631566.Google Scholar
43.Fernandes, ED, Kadivar, H, Hallman, FI, et al. Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992; 54: 732740.CrossRefGoogle ScholarPubMed
44.Said, SA, El Gamal, MI, Werf, T, Van der Werf, T. Coronary arteriovenous fistulas: collective review and management of six new cases changing etiology, presentation, and treatment strategy. Clin Cardiol 1997; 20: 748752.CrossRefGoogle ScholarPubMed
45.Neufield, HN, Lester, RG, Adams, O Jr, et al. Congenital communications of a coronary artery with a cardiac chamber or the pulmonary trunk (coronary artery fistula). Circulation 1961; 24: 171179.CrossRefGoogle Scholar
46.Abe, T, Kamata, K, Nakanishi, K, Morishita, K, Komatsu, S. Successful repair of coronary artery-coronary fistula with aneurysm in an adult. Ann Thorac Surg 1996; 61: 15201523.CrossRefGoogle ScholarPubMed
47.Shuiyun, W, Qingyu, WU, Shengshou, HU, et al. Surgical treatment of 52 patients with congenital coronary artery fistulas. Chin Med J 2001; 114 7: 752755.Google Scholar
48.Kruskal, JB, Hartnell, GG. Nonatherosclerotic coronary artery disease: more than just stenosis. RadioGraphics 1995; 15: 383396.CrossRefGoogle ScholarPubMed
49.Voci, G, Patel, RB, Trivedi, AD, Patel, PV, Burris, AC, Ruby, SR. Angiographic demonstration of congenital intercoronary communication in normal adults. Am J Cardiol 1987; 59: 12051206.CrossRefGoogle ScholarPubMed
50.Moberg, A. Anastomosis between extracardiac vessels and coronary arteries. Acta Radiol 1967; 6: 177192.Google Scholar