title: Critical care for patients with congenital abnormalities of the coronary arteries.
abstract: Congenital abnormalities of the coronary arteries in the absence of structural heart disease account for a small but interesting percentage of cardiac lesions in children. Their presentation may vary from incidental identification to aborted/sudden cardiac death. Patients with aborted sudden death episodes will require significant support if they develop extensive ischaemic myocardial injury. Ultimately, surgical repair should be carried out as soon as haemodynamic stability is attained and the neurological status is evaluated. The aims of this article were to provide a review of congenital abnormalities of the coronary arteries most commonly seen in children in the ICU as well as to review the current critical-care management thereof.
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: Saul
authors.initials: S
authors.lastname: Flores
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: Ryan A
authors.initials: RA
authors.lastname: Moore
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Statile
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: Erik C
authors.initials: EC
authors.lastname: Michelfelder
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: Shawna G
authors.initials: SG
authors.lastname: Wanstrath
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: Timothy K
authors.initials: TK
authors.lastname: Knilans
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: David L
authors.initials: DL
authors.lastname: Morales
authors.affiliation: Cincinnati Children's Hospital Medical Center,The Heart Institute,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors.forename: David S
authors.initials: DS
authors.lastname: Cooper
mesh_terms: D006348:Cardiac Surgical Procedures; D016887:Cardiopulmonary Resuscitation; D002648:Child; D002675:Child, Preschool; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003422:Critical Care / Q000379:methods*; D016757:Death, Sudden, Cardiac; D018618:Echocardiography, Doppler, Color; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D018810:Magnetic Resonance Angiography; D011182:Postoperative Care; D014057:Tomography, X-Ray Computed
keywords: Congenital; coronary anomalies; critical care; sudden cardiac death