ArticleTurk gogus kalp damar cerrahisi dergisi2026
Management of anomalous aortic origin of coronary arteries in children: A single-center experience.
Article in Turk gogus kalp damar cerrahisi dergisi, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Coronary Artery Anomalies and Anatomical Variants: Cross-Sectional Diagnostic Imaging and Clinical Background.Journal of imaging · 2026Review
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7 authors.
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Abstract
Background: Anomalous aortic origin of coronary arteries (AAOCA) is the second leading cause of sudden cardiac death in young athletes and poses significant diagnostic and management challenges due to its variable anatomy and unpredictable clinical course. Methods: We retrospectively analyzed 17 pediatric patients (10 male, 7 female; median age 12 years) diagnosed with AAOCA between 2016 and 2025. All patients underwent echocardiography and electrocardiogram-gated computed tomography angiography. Risk stratification considered interarterial course, intramural segment, and ostial morphology. Results: Anomalous right coronary artery was most common (n=11, 64.7%), followed by anomalous left coronary artery (ALCA) (n=4, 23.5%) and anomalous circumflex arteries (n=3, 17.6%). Interarterial course was present in 12 patients (70.6%), and intramural course in 9 patients (52.9%). The main presenting symptoms were exercise-induced chest pain (n=10, 58.8%), syncope (n=8, 47.1%), dizziness (n=7, 41.2%), and palpitations (n=6, 35.3%). Syncope was predominantly observed in ALCA patients with interarterial course. Among 15 patients aged ≥8 years who underwent exercise stress testing, 6 (40%) showed inducible ischemia. Nine patients (52.9%) underwent surgical intervention, including unroofing (n=7), ostial reimplantation (n=1), and pulmonary artery translocation (n=1). The remaining eight patients (47.1%) were managed conservatively, six of whom received beta-blocker therapy. Conclusion: Transthoracic echocardiography reliably identified AAOCA, showing excellent concordance with computed tomography and surgical findings. Standardized echocardiographic protocols are crucial, especially for children presenting with unexplained syncope or exertional symptoms, and can guide optimal management strategies.
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