{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:07:46Z","timestamp":1777525666986,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,6,1]],"date-time":"2012-06-01T00:00:00Z","timestamp":1338508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>Congenital coronary anomalies remain a debated issue. On the basis of a critical review of the literature and our historical series, we propose a simple clinical profile scoring system for congenital coronary anomalies. A review of literature over the past 30 years was performed, searching for a relationship between the worst coronary anomaly presentation and manifestations and the anatomical and functional features. A risk scoring system was created based on these features, and retrospectively applied to our historical series of 140 consecutive patients (52 females; mean age, 60.1\u2009\u00b1\u200919.3 years; mean follow-up, 60\u2009\u00b1\u200923 months). Origin from the pulmonary artery, intramural course, intramyocardial course, coronary fistula with a significant pulmonary-to-systemic flow ratio, superimposed coronary artery disease, and associated congenital heart disease were associated with the worst clinical presentation. The risk scoring system gave 2 points to anatomical features and 1 point to the association with clinical and functional characteristics: 3 risk classes were identified: &gt;3, 2\u20133, and &lt;2 points. The system showed good correlation with presentation and manifestations on follow-up. Although not exhaustive, the proposed scoring system may simplify the clinical evaluation of patients with such abnormalities, being a model for decision making.<\/jats:p>","DOI":"10.1177\/0218492312437880","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"299-303","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["A clinical-angiographic risk scoring system for coronary artery anomalies"],"prefix":"10.1177","volume":"20","author":[{"given":"Gianluca","family":"Rigatelli","sequence":"first","affiliation":[{"name":"Section of Adult Congenital Heart Disease Interventions, Rovigo, General Hospital, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Rigatelli","sequence":"additional","affiliation":[{"name":"Department of Urgency Medicine, Verona University School of Medicine and Surgery, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Cominato","sequence":"additional","affiliation":[{"name":"Section of Adult Congenital Heart Disease Interventions, Rovigo, General Hospital, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Panin","sequence":"additional","affiliation":[{"name":"Section of Adult Congenital Heart Disease Interventions, Rovigo, General Hospital, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nguyen Thuong","family":"Nghia","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department, Cho Rey Hospital, Ho Chi Min City, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Faggian","sequence":"additional","affiliation":[{"name":"Institute of Cardiac Surgery, Verona University School of Medicine and Surgery, Verona, 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