Open Access

ARTICLE

Catheter-based anatomic and functional assessment of coronary arteries in anomalous aortic origin of a coronary artery, myocardial bridges and Kawasaki disease

by

1 CE Mullins Cardiac Catheterization Laboratories, Houston, Texas, USA
2 Coronary Anomalies Program and Division of Pediatric Cardiology, Texas Children’s Hospital, Houston, Texas, USA
3 Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA

* Corresponding Author: Athar M. Qureshi, MD, CE Mullins Cardiac Catheterization Laboratories, Texas Children’s Hospital, 6621 Fannin Street, WT 19345-C, Houston, TX 77030. Email:

Congenital Heart Disease 2017, 12(5), 615-618. https://doi.org/10.1111/chd.12500

Abstract

Most diagnostic testing in patients with anomalous aortic origins of coronary arteries, myocardial bridges, and coronary artery changes after Kawasaki disease are performed with the use of noninvasive techniques. In some cases, however, further diagnostic information is needed to guide the clinician in treating these patients. In such instances, cardiac catheterization with invasive anatomic and functional testing is an invaluable tool. Moreover, interventional treatment in the cardiac catheterization laboratory may be performed in a small subset of these patients. As the diagnosis of these conditions is now becoming more common, it is important for pediatric interventional cardiologists to be familiar with these techniques. In this article, the role of angiography, intravascular ultrasound, fractional flow reserve, and optical coherence tomography in these patients is reviewed.

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