Clinical Presentation and Medium-Term Outcomes of Children With Anomalous Aortic Origin of the Left Coronary Artery: High-Risk Features Beyond Interarterial Course.

Tam T Doan,J Kevin Wilkes,Dana L Reaves O'Neal,Carlos Bonilla-Ramirez,Shagun Sachdeva,Prakash Masand,Carlos M Mery,Ziyad Binsalamah,Jeffrey S Heinle,Silvana Molossi

Circulation. Cardiovascular interventions（2023）

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摘要

Inducible ischemia was noted in all 3 AAOLCA subtypes while most aborted sudden cardiac deaths occurred in interarterial AAOLCA (group 1). Aborted sudden cardiac death and cardiogenic shock may occur in AAOLCA with left/nonjuxtacommissural origin and intramural course, thus also deemed high-risk. A systematic approach is essential to adequately risk stratify this population.

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关键词

anomalous left coronary artery, children, computed tomography angiography, exercise test, myocardial perfusion imaging, sudden cardiac death

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