SciELO - Scientific Electronic Library Online

 
vol.85 issue4Hemophilia: analysis of consultations in the Department of Pediatric Emergency, CHPRSurfactant administration without endotracheal intubation author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249

Abstract

CHIESA, Pedro; GUTIERREZ, Carmen  and  CERUTI, Beatriz. Coronary disease in children: High risk of sudden death. Arch. Pediatr. Urug. [online]. 2014, vol.85, n.4, pp.226-234. ISSN 1688-1249.

Summary  Introduction: anomalies in coronary artery are very rare diseases in children. Due to their complexities they are frequent cause of sudden death. Objective: the aim of this study was to evaluate the cases of coronary diseases in children from the Policlínica de Cardiología del Hospital Pereira Rossell (PC-CHPR) and the Instituto de Cardiología Infantil (ICI) in the late 25 years, included cases of consultation. Method: a review of the files and clinical charts from PC-CHPR and ICI was performed. Cases with diagnosis of coronary disease were selected. Clinical presentation, diagnostic studies and follow up were analyzed. Results: 20 cases of disease of coronary artery were recorded. 2 cases of Kawasaki disease, one case of Williams syndrome with supravalvular aortic stenosis and coronary ostia stenosis; 2 cases of hypoplastic coronary artery; one case of left coronary artery originated in right sinus of Valsalva, with interarterial course; one case of occlusion of coronary artery after arterial switch operation in complete transposition of the great arteries; one case of abnormal left coronary artery from right pulmonary artery and 12 cases of abnormal left coronary artery pulmonary artery (ALCAPA). Conclusion: the importance of a prompt diagnosis is emphasized. On time interventions may prevent death. This was the case in 35% of the patients. In cases of sudden death, an autopsy performed by pediatric pathologist with special attention to coronary arteries is recommended.

Keywords : CORONARY DISEASES; SUDDEN DEATH; CORONARY VESSEL ANOMALIES.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License