After a significant @entity453 is recognized in a pediatric @entity1 , surgery or appropriate transcatheter intervention should be performed. The risk of fatality from a @entity301 far outweighs the small risks of surgical or transcatheter intervention. Angiography, although considered the state-of-the-art method of diagnosis, has significant spatial limitations and is not always diagnostic of aberrant coronary origins from the contralateral aortic sinus. In the hands of an experienced coronary imager, color flow Doppler echocardiography is one of the best diagnostic tools for @entity301 . Symptoms of a @entity301 vary from none to a sudden coronary event that may result in @entity204 . Awareness of subtle as well as obvious symptoms is essential for a timely intervention. Surgical or transcatheter intervention in an asymptomatic @entity1 with a @entity301 is controversial, but it is becoming more acceptable due to a better understanding of the risks involved in unrepaired @entity301 . Surgical reimplantation is the treatment of choice for a @entity1 with a pulmonary origin of a coronary artery. Surgical unroofing of the intramural segment is preferable in an aberrant coronary origin from the contralateral aortic sinus. Surgical enlargement of a stenotic ostium is recommended for @entity850 . Transcatheter coil embolization is becoming the treatment of choice of large @entity453 .

Congenital Coronary Artery Abnormalities in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'child'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary abnormality', 'congenital coronary abnormality', 'congenital coronary abnormalities'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery abnormality', 'coronary artery fistula'] @entity850 :: ('MESH:D003251', 'Disease') :: ['ostial stenosis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1 :: (9606,Species) :: ['Children']
