title: Functional assessment of anomalous right coronary artery using fractional flow reserve: An Innovative Modality to Guide Patient Management.
abstract: 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. © 2016 Wiley Periodicals, Inc.
authors: Department of Internal Medicine, Loma Linda University Health, Loma Linda, California.
authors: Amber N
authors: AN
authors: Boler
authors: Division of Cardiology, Loma Linda University Health, Loma Linda, California.
authors: Anthony A
authors: AA
authors: Hilliard
authors: Division of Pediatric Cardiology, Loma Linda University Children's Hospital, Loma Linda, California.
authors: Brent M
authors: BM
authors: Gordon
mesh_terms: D000293:Adolescent; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D003331:Coronary Vessels / Q000503:physiopathology* / Q000601:surgery; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control; D005080:Exercise Test; D053805:Fractional Flow Reserve, Myocardial; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome
keywords: congenital coronary malformation; coronary anomaly