Functional Assessment of Anomalous Right Coronary Artery Using Fractional Flow Reserve: An Innovative Modality to Guide Patient Management

被引：11

作者：

Boler, Amber N. ^{[1
]}

Hilliard, Anthony A. ^{[2
]}

Gordon, Brent M. ^{[3
]}

机构：

[1] Loma Linda Univ Hlth, Dept Internal Med, Loma Linda, CA USA

[2] Loma Linda Univ Hlth, Div Cardiol, Loma Linda, CA USA

[3] Loma Linda Univ, Childrens Hosp, Div Pediat Cardiol, Loma Linda, CA 92350 USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2017年 / 89卷 / 02期

关键词：

congenital coronary malformation; coronary anomaly; SUDDEN-DEATH; OPPOSITE SINUS; ORIGIN; ADULTS; STENOSIS;

D O I：

10.1002/ccd.26660

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Anomalous origin of a coronary artery is a recognized cause of sudden cardiac death (SCD). To date, there is no standard test to predict which patients are at increased risk for SCD. Fractional flow reserve (FFR) is an invasive technique used to qualify focal obstructive coronary lesions. We present a case where FFR was used to guide therapy in a young patient with anomalous right coronary artery (ARCA) when standard noninvasive testing showed ischemic discrepancy. (C) 2016 Wiley Periodicals, Inc.

引用

页码：316 / 320

页数：5

共 12 条

[1] Origin of the right coronary artery from the opposite sinus of Valsalva in adults: Characterization by intravascular ultrasonography at baseline and after stent angioplasty [J].

Angelini, Paolo ;

Uribe, Carlo ;

Monge, Jorge ;

Tobis, Jonathan M. ;

Elayda, MacArthur A. ;

Willerson, James T. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2015, 86 (02) :199-208

[2]

Angelini P, 2010, TEX HEART I J, V37, P221

[3] Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes [J].

Basso, C ;

Maron, BJ ;

Corrado, D ;

Thiene, G .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (06) :1493-1501

[4] Sudden death in young adults: A 25-year review of autopsies in military recruits [J].

Eckart, RE ;

Scoville, SL ;

Campbell, CL ;

Shry, EA ;

Stajduhar, KC ;

Potter, RN ;

Pearse, LA ;

Virmani, R .

ANNALS OF INTERNAL MEDICINE, 2004, 141 (11) :829-834

[5] Noninvasive Imaging in Coronary Artery Disease [J].

Heo, Ran ;

Nakazato, Ryo ;

Kalra, Dan ;

Min, James K. .

SEMINARS IN NUCLEAR MEDICINE, 2014, 44 (05) :398-409

[6] Anomalous origination of a coronary artery from the opposite sinus [J].

Lim, Joanna C. E. ;

Beale, Andy ;

Ramcharitar, Steve .

NATURE REVIEWS CARDIOLOGY, 2011, 8 (12) :706-719

[7] Hemodynamic abnormalities across an anomalous left main coronary artery assessment: Evidence for a dynamic ostial obstruction [J].

Lim, MJ ;

Forsberg, MJ ;

Lee, R ;

Kern, MJ .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2004, 63 (03) :294-298

[8] Sudden death in young competitive athletes - Clinical, demographic, and pathological profiles [J].

Maron, BJ ;

Shirani, J ;

Poliac, LC ;

Mathenge, R ;

Roberts, WC ;

Mueller, FO .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (03) :199-204

[9] FRACTIONAL FLOW RESERVE - A USEFUL INDEX TO EVALUATE THE INFLUENCE OF AN EPICARDIAL CORONARY STENOSIS ON MYOCARDIAL BLOOD-FLOW [J].

PIJLS, NHJ ;

VANGELDER, B ;

VANDERVOORT, P ;

PEELS, K ;

BRACKE, FALE ;

BONNIER, HJRM ;

ELGAMAL, MIH .

CIRCULATION, 1995, 92 (11) :3183-3193

[10] Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenoses [J].

Pijls, NHJ ;

DeBruyne, B ;

Peels, K ;

VanderVoort, PH ;

Bonnier, HJRM ;

Bartunek, J ;

Koolen, JJ .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (26) :1703-1708

← 1 2 →