Coronary Artery Anomalies Program, Texas Children's Hospital, 6651 Main Street, MC E1920, Houston, TX 77030, USA; The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, 6651 Main Street, MC E1920, Houston, TX 77030, USA.
Coronary Artery Anomalies Program, Texas Children's Hospital, 6651 Main Street, MC E1920, Houston, TX 77030, USA; The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, 6651 Main Street, MC E1920, Houston, TX 77030, USA.
Interv Cardiol Clin. 2024 Jan;13(1):51-70. doi: 10.1016/j.iccl.2023.09.001.
Congenital coronary anomalies are not an infrequent occurrence and their clinical presentation typically occurs during early years, though may be manifested only in adulthood. In the setting of anomalous aortic origin of a coronary artery, this is particularly concerning as it inflicts sudden loss of healthy young lives. Risk stratification remains a challenge and so does the best management decision-making in these patients, particularly if asymptomatic. Standardized approach to evaluation and management, with careful data collection and collaboration among centers, will likely impact future outcomes in this patient population, thus allowing for exercise participation and healthier lives.
先天性冠状动脉异常并不罕见，其临床表现通常发生在早年，但也可能仅在成年后表现出来。在冠状动脉异常起源于主动脉的情况下，这尤其令人担忧，因为它会导致健康的年轻生命突然丧失。风险分层仍然是一个挑战，因此在这些患者中做出最佳管理决策也是如此，特别是如果他们没有症状。通过标准化的评估和管理方法，仔细收集数据并在中心之间开展合作，可能会影响该患者群体的未来结果，从而使他们能够参加运动并过上更健康的生活。
