Congenital Coronary Artery Anomalies in the Adult

Abstract

Clearly, the most common obstructive disease resulting in myocardial ischemia in adults is atherosclerotic coronary artery disease, which often requires coronary artery bypass surgery or transcatheter stenting. A number of congenital lesions can also cause ischemic syndromes that can result in myocardial infarction and sudden death. The treatment options for these anatomic coronary variations are rarely coronary artery bypass, so they deserve our attention and review.

Figure Credits

• Fig. 20.1: Dodge-Khatami A, Mavroudis C, Backer CL. Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries. Ann Thorac Surg. 2000; 694(Suppl):S270–97 (Reproduced with permission of Elsevier and the Society of Thoracic Surgeons)

• Fig. 20.6: Mavroudis C. Anomalous origin of the left coronary artery from the pulmonary artery presenting in adulthood: a French Nationwide retrospective study, An Editorial Commentary. Semin Thorac Cardiovasc Surg. 2017;29:491–3 (Reproduced with permission from Elsevier)

• Figs. 20.11–20.13, 20.16: Farouk A, Zahka K, Siwik E, Golden A, Karimi M, Uddin M, Hennein HA. Anomalous origin of the left coronary artery from the right pulmonary artery. J Card Surg. 2009;24:49–54 (Reproduced with permission from John Wiley & Sons, Inc.)

• Figs. 20.14, 20.15, 20.35–20.37, 20.43–20.50: Mavroudis C. Coronary artery anomalies. In: Mavroudis C, Backer CL, editors. Atlas of Pediatric Cardiac Surgery. London: Springer; 2015. p. 359–86 (Reproduced with permission from Springer Nature)

• Figs. 20.29–20.31: Mavroudis C, Backer CL. Technical tips for three congenital heart operations: modified Ross-Konno procedure, optimal ventricular septal defect exposure by tricuspid valve incision, coronary unroofing and endarterectomy for anomalous aortic origin of the coronary artery. Oper Tech Thorac Cardiovasc Surg. 2010;15:18–40 (Reproduced with permission from Elsevier and the American Association for Thoracic Surgery)

• Figs. 20.53–20.55: Mavroudis C, Dodge-Khatami A, Backer CL, Lorber R. Coronary artery anomalies. In: Mavroudis C, Backer C, editors. Pediatric Cardiac Surgery, 4th ed. Hoboken: Wiley-Blackwell; 2013. p. 715–43 (Reproduced by permission of John Wiley & Sons, Inc.)