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Evaluation of Myocardial Ischemia After Surgical Repair of Anomalous Aortic Origin of a Coronary Artery in a Series of Pediatric Patients

Julie A. Brothers, MD^_*,_*, Michael G. McBride, PhD^_*, Mohamed A. Seliem, MD, FACC^_*, Bradley S. Marino, MD, MPP, MSCE, FACC, Ryan S. Tomlinson, BSE, Miguel H. Pampaloni, MD, PhD, J. William Gaynor, MD, Thomas L. Spray, MD, FACC and Stephen M. Paridon, MD, FACC^_*

^_* Cardiology, The Children's Hospital of Philadelphia
Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania
Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania

View larger version (99K): [in this window] [in a new window] [Download PPT slide]   Figure 1 ECG From Post-Operative Maximal EST at 6 Weeks and 20 Months (A) The electrocardiogram (ECG) from a maximal exercise stress test (EST) 6 weeks after the unroofing procedure for anomalous right coronary artery (ARCA) shows inferior lead ST-segment depression. (B) The ECG from the same patient 20 months after ARCA surgery shows baseline Q waves in leads V1, V2, aVR, and aVL at rest with no ischemic changes during a maximal EST.