EAP 2019 Congress and MasterCourse

Diagnosis and Outcomes of Congenital Coronary Anomalies in Children in Kosovo

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1Pediatrics Cardiology, Medical School, University of Gjakova, Gjakova, Kosov, Pediatrics Clinic, University Clinical Center of Kosovo, Prishitna, Kosovo, Kosovo
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Introduction Congenital anomalies of the coronary arteries (ACA) are rare anomalies with widespread clinical presentation, from asymptomatic to life-threatening. They can be isolated (commonly), or associated with other, usually complex heart defects. As isolated, they differ by number on coronary ostia and the origin from the aorta, the positioning within sinuses and course of coronary arteries.

The aim of this presentation is to present children diagnosed with some type of ACA, a modern approach to the diagnosis and treatment of this anomaly, as well as our experience in diagnosis, treatment and outcome of children with these anomalies.

Methodology Retrograde analysis of all children diagnosed with ACA during the period January 2000 - December 2018.

Results During this period a total number of 37 children were diagnosed with ACA, of them 21 were with isolated anomalies, and while in 16 children ACA were associated with some other complex heart defects. From the study were excluded children with heart anomalies where the presence of coronary arteries anomalies is expected such as D-TGA. Of the 21 children with isolated ACA 13 had ALCAPA, two children were with ARCAPA, three children had a coronary cameral fistula of the right coronary artery, while in three children only one coronary artery were recorded (two left and one right coronary artery). We had only one case of prenatal diagnosis with ALCAPA. Diagnosis was based on the clinical manifestation, the finding on the ECG and cross-sectional echocardiography while a definitive diagnosis is confirmed by a CT-scan and MRI finding in 4 children. Due to the need for surgical intervention and the lack of this service in Kosovo, all children were sent abroad the country where diagnosis was confirmed. In some children invasive diagnosis was performed, and then surgical correction was done. After a successful surgical intervention all children, in good general condition, are in a routine cardiac follow-up.









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