205 - CORONARY ANOMALIES IN THE ADULT - FROM INNOCENT TO LIFE-THREATENING

Co-Chair(s)

• 

  Rafael Alonso-Gonzalez, MD, MSc

  ACHD Cardiologist
  Peter Munk Cardiac Centre
  University of Toronto
• IV

  Isabelle Vonder Muhll, MD

  Dr

Presenter(s)

• AB

  Alvan Buckley, MD
• 

  Marie-A. Chaix, MD PhD

  ACHD and echocardiography cardiologist
  Montreal Heart Institute
  Université de Montréal
• MS

  Markus Schwerzmann, MD FESC

  University of Ottawa Heart Institute

Early Career(s)

• AB

  Alvan Buckley, MD

Trainee(s)

• 

  Joanne Joseph, MD

  Resident
  University of Ottawa Heart Institute

Moderator(s)

• MS

  Markus Schwerzmann, MD FESC

  University of Ottawa Heart Institute

Planning Committee Member(s)

• 

  Rafael Alonso-Gonzalez, MD, MSc

  ACHD Cardiologist
  Peter Munk Cardiac Centre
  University of Toronto
• JF

  John Fulop, MD
• 

  Joanne Joseph, MD

  Resident
  University of Ottawa Heart Institute
• NP

  Nancy Poirier, MD

  Cardiac surgeon
  Centre Hospitalier Universitaire Sainte-Justine
• MS

  Markus Schwerzmann, MD FESC

  University of Ottawa Heart Institute

Workshop Description: With the growing use of cardiac imaging technologies (e.g. coronary CT), the number of newly diagnosed coronary anomalies has considerably increased in recent years. Current guidelines provide only general concepts for their diagnosis and treatment. In many types of coronary anomalies, the risk of sudden cardiac arrest (SCA) is minimal. However, they still constitute the second most common cause of sudden cardiac death among competitive athletes. Identifying the mostly asymptomatic adult at risk of a potentially catastrophic event is challenging. This workshop uses a patient example to summarize current strategies for risk stratification and outlines how clinical presentation and multimodality evaluation impact on therapeutic opportunities and follow-up plans. The workshop aims to offer management recommendations for the clinician faced with the conundrum of managing coronary anomalies beyond the guideline concepts.