Malone LaDonna J, Jadhav Siddharth P, Han B Kelly, Sachdeva Shagun
Department of Radiology, Children's Hospital of Colorado, University of Colorado, 13123 E 16th Ave B125, Aurora, CO, 80045, USA.
Edward Singleton Department of Radiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Pediatr Radiol. 2024 Dec 20. doi: 10.1007/s00247-024-06135-9.
Anomalous coronary arteries are associated with sudden cardiac death, although only in a relatively small percentage. Although this has been a field of study for years and there are many ongoing studies of larger patient cohorts and longer term follow-up, important questions remain at present in clinical decision-making, particularly whether or not to have surgery. Advanced imaging techniques including coronary computed tomography (CT) and cardiac magnetic resonance (MR) play an important role in the workup of patients with known or suspected anomalies including delineating origin and course as well as defining presence of high-risk imaging features. Multidisciplinary decision-making is important when considering whether patients might need to undergo surgery. This review will describe types of anomalies, imaging techniques, and features as well as types of surgeries and postoperative imaging with highlights of imaging and surgical literature and several case examples.
异常冠状动脉与心源性猝死有关，尽管仅占相对较小的比例。尽管这是一个多年来的研究领域，并且有许多正在进行的针对更大患者队列和更长随访期的研究，但目前在临床决策中仍存在重要问题，尤其是是否进行手术。包括冠状动脉计算机断层扫描（CT）和心脏磁共振（MR）在内的先进成像技术在已知或疑似异常患者的检查中发挥着重要作用，包括描绘起源和走行以及确定高危成像特征的存在。在考虑患者是否可能需要接受手术时，多学科决策很重要。本综述将描述异常类型、成像技术和特征，以及手术类型和术后成像，并重点介绍成像和外科文献以及几个病例实例。
