Anomalous aortic origin of coronary arteries: Early results on clinical management from an international multicenter study

Anomalous aortic origin of coronary arteries (AAOCA) is a rare abnormality, whose optimal management is still undefined. We describe early outcomes in patients treated with different management strategies. This is a retrospective clinical multicenter study including patients with AAOCA, undergoing o...

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Bibliographic Details
Published in:International journal of cardiology 2019-09, Vol.291, p.189-193
Main Authors: Padalino, Massimo A., Franchetti, Nicola, Sarris, George E., Hazekamp, Mark, Carrel, Thierry, Frigiola, Alessandro, Horer, Jurgen, Roussin, Regine, Cleuziou, Julie, Meyns, Bart, Fragata, Jose, Telles, Helena, Polimenakos, Anastasios C., Francois, Katrien, Veshti, Altin, Salminen, Jukka, Rocafort, Alvaro Gonzalez, Nosal, Matej, Vedovelli, Luca, Protopapas, Eleftherios, Tumbarello, Roberto, Merola, Assunta, Pegoraro, Cinzia, Motta, Raffaella, Boccuzzo, Giovanna, Sojak, Vladimir, Rito, Mauro Lo, Caldaroni, Federica, Corrado, Domenico, Basso, Cristina, Stellin, Giovanni
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anomalous coronary arteries
Child
Clinical management
Congenital
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - therapy
Disease Management
Female
Follow-Up Studies
Humans
Internationality
Longitudinal Studies
Male
Middle Aged
Outcomes
Retrospective Studies
Surgery
Young Adult
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Description
Summary:Anomalous aortic origin of coronary arteries (AAOCA) is a rare abnormality, whose optimal management is still undefined. We describe early outcomes in patients treated with different management strategies. This is a retrospective clinical multicenter study including patients with AAOCA, undergoing or not surgical treatment. Patients with isolated high coronary take off and associated major congenital heart disease were excluded. Preoperative, intraoperative, anatomical and postoperative data were retrieved from a common database. Among 217 patients, 156 underwent Surgical repair (median age 39 years, IQR: 15–53), while 61 were Medical (median age 15 years, IQR: 8–52), in whom AAOCA was incidentally diagnosed during screening or clinical evaluations. Surgical patients were more often symptomatic when compared to medical ones (87.2% vs 44.3%, p 
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2019.02.007