Coronary artery lesions are associated with adverse cardiac events in children undergoing supravalvular aortic stenosis repair.

ABSTRACT:

Objectives

The aim of this study was to identify the prevalence and anatomic characteristics of coronary artery lesions and their associated postoperative risk in patients undergoing supravalvular aortic stenosis repair.

Methods

The association between structural risk factors, postoperative ST-segment changes, and major adverse cardiac events was explored using logistic regression and the Fisher's exact test.

Results

In 51 consecutive patients with supravalvular aortic stenosis treated between 2000 and 2017, a total of 48 coronary lesions were identified in 27 patients (53%). Prominent ostial ridge (type I) was the most common coronary lesion, followed by small ostium with (IIIb) or without (IIIa) diffuse long-segment coronary narrowing, and adhesion of the coronary c

SUBMITTER: Luo S 

PROVIDER: S-EPMC10948283 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature