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Anomalies of the coronary arteries: nomenclature and classification

Published online by Cambridge University Press:  01 December 2010

Marshall L. Jacobs  and
Constantine Mavroudis
Marshall L. Jacobs*
Affiliation:
Center for Pediatric and Congenital Heart Diseases, Cleveland Clinic, Cleveland, Ohio, United States of America
Constantine Mavroudis
Affiliation:
Center for Pediatric and Congenital Heart Diseases, Cleveland Clinic, Cleveland, Ohio, United States of America
*
Correspondence to: M. L. Jacobs, MD, Center for Pediatric and Congenital Heart Diseases, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195, United States of America. Tel: 610 356 2615; Fax: 610 356 2889; E-mail: [email protected]
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Abstract

Abnormalities of the coronary arterial circulation represent a broad spectrum of anomalies. Some of these coronary arterial anomalies are of little clinical significance and are generally discovered either as incidental findings at autopsy or at the time of diagnostic coronary angiography in patients with atherosclerotic ischaemic cardiac disease. Some of these coronary arterial anomalies, however, are associated with a markedly abnormal natural history that may include significant cardiac morbidity very early in infancy, or increased risk of cardiac sudden death in childhood or adolescence. It is therefore important that we have a system for the naming and classification of these anomalies, to stratify them according to the associated risk and to develop rational approaches to evaluation and management. To apply any system of nomenclature reliably and responsibly, it is essential that each term be associated with a definition that is known and accepted by users of terminology. Such definitions are included in the specifications of both the Society of Thoracic Surgeons Congenital Heart Surgery Database and the European Association for Cardio-Thoracic Surgery Congenital Heart Surgery Database. These databases use the Diagnostic Short List of the version of the International Paediatric and Congenital Cardiac Code derived from the nomenclature of the International Congenital Heart Surgery Nomenclature and Database Project of the European Association for Cardio-Thoracic Surgery and the Society of Thoracic Surgeons. This article will provide the nomenclature and definitions used by these databases for anomalies of the coronary arteries.

Keywords

Congenital cardiac diseasepaediatric cardiac diseaseanomalous aortic origin of the coronary arteryanomalous origin of the coronary artery from the pulmonary arterycoronary arterial fistula
Type
Original Article
Information
Cardiology in the Young , Volume 20 , Issue S3: Rare and Challenging Congenital Cardiac Lesions: an Interdisciplinary Approach , December 2010 , pp. 15 - 19
Copyright
Copyright © Cambridge University Press 2010

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