Purpose of Review

Coronary artery anomalies are a diverse group of entities, ranging from benign variations of normal anatomy to life-threatening conditions. There is, however, no universal consensus in their classification, risk stratification, and management. The aim of this review is to develop a straightforward clinical approach for the assessment and care of patients with anomalous coronary arteries.

Recent Findings

Autopsy series and population screening studies have recently provided useful clinical data on the prevalence and outcomes of coronary anomalies. Also, findings on coronary computed tomography angiography, magnetic resonance imaging, and invasive angiography, enriched with fractional flow reserve and intravascular ultrasound, have allowed identification of several high-risk features associated with specific coronary anomalies.

Summary

Management of patients with anomalous coronary arteries requires an individualized approach based on clinical, physiological, and anatomic features. High-quality studies are paramount for further development of this fascinating field.

中文翻译：

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冠状动脉异常：何时进行随访、风险分层和计划干预

审查目的

冠状动脉异常是一组不同的实体，从正常解剖结构的良性变异到危及生命的情况。然而，在它们的分类、风险分层和管理方面没有普遍的共识。本综述的目的是为冠状动脉异常患者的评估和护理开发一种直接的临床方法。

最近的发现

尸检系列和人群筛查研究最近提供了有关冠状动脉异常患病率和结果的有用临床数据。此外，冠状动脉计算机断层扫描血管造影、磁共振成像和侵入性血管造影的发现，富含血流储备分数和血管内超声，可以识别与特定冠状动脉异常相关的几个高风险特征。

概括

冠状动脉异常患者的管理需要基于临床、生理和解剖特征的个体化方法。高质量的研究对于这个迷人领域的进一步发展至关重要。