Isolated Coronary Artery Anomalies Follow-up

Updated: Dec 18, 2014
  • Author: Jamshid Shirani, MD; Chief Editor: Eric H Yang, MD  more...
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Follow-up

Complications

The following complications are associated with certain types of congenital coronary anomalies:

  • Sudden cardiac death
  • Myocardial ischemia, including acute myocardial infarction [41]
  • Congestive heart failure
  • Endocarditis
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Prognosis

Most coronary artery anomalies are clinically silent and do not affect the outcome of patients. Certain anomalies are associated with sudden death, myocardial ischemia, congestive heart failure, or endocarditis at an early age.

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Patient Education

Patients with coronary anomalies and symptoms of myocardial ischemia or congestive heart failure should avoid strenuous physical activity.

Antibiotic prophylaxis is recommended in patients with fistulas.

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