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Erschienen in: Monatsschrift Kinderheilkunde 3/2013

01.03.2013 | Originalien

Isolierte kongenitale Koronaranomalien

Morphologie und klinische Relevanz im Kindes- und Jugendalter

verfasst von: PD Dr. M. Hauser, C. Meierhofer, A. Will, H. Kaemmerer

Erschienen in: Monatsschrift Kinderheilkunde | Ausgabe 3/2013

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Zusammenfassung

Hintergrund

Isolierte Koronaranomalien sind seltene angeborene kardiovaskuläre Fehlbildungen. Zu ihnen zählen der Fehlabgang einer Koronararterie aus der Pulmonalarterie (ALCAPA, ARCAPA), der atypische Abgang aus einem nicht zugehörigen Aortensinus, Koronarfisteln und Koronaraneurysmen.

Diagnostik

Die Klinik variiert von akut lebensbedrohlichen Symptomen wie Myokardinfarkt, kardialer Synkope und ventrikulären Arrhythmien über die Volumenbelastung einzelner Herzhöhlen bis hin zu asymptomatischen Verläufen. Diagnostisch steht die Echokardiographie als Screeningmethode zur Verfügung; zur genauen morphologischen Darstellung der Gefäßsituation kommen bildgebende Verfahren wie Magnetresonanztomographie oder Computertomographie und als Goldstandard die Koronarangiographie zur Anwendung.

Therapie

Die Indikation zur konservativen, interventionellen oder operativen Behandlung ist jeweils individuell zu stellen.
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Metadaten
Titel
Isolierte kongenitale Koronaranomalien
Morphologie und klinische Relevanz im Kindes- und Jugendalter
verfasst von
PD Dr. M. Hauser
C. Meierhofer
A. Will
H. Kaemmerer
Publikationsdatum
01.03.2013
Verlag
Springer-Verlag
Erschienen in
Monatsschrift Kinderheilkunde / Ausgabe 3/2013
Print ISSN: 0026-9298
Elektronische ISSN: 1433-0474
DOI
https://doi.org/10.1007/s00112-012-2813-3

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