Anomalous Aortic Origin of a Coronary Artery

Anomalous aortic origin of a coronary artery (AAOCA) is the second leading cause of sudden cardiac death in young athletes. The pathophysiology leading to sudden cardiac death, the specific risks associated with the different varieties of AAOCA, and the effects of different management strategies on...

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Bibliographic Details
Published in:Methodist DeBakey cardiovascular journal 2019-04, Vol.15 (2), p.111-121
Main Authors: Molossi, Silvana, Martínez-Bravo, Luis E, Mery, Carlos M
Format: Article
Language:English
Subjects:
Algorithms
Cardiac Imaging Techniques
Clinical Decision-Making
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - physiopathology
Coronary Vessel Anomalies - therapy
Death, Sudden, Cardiac - etiology
Death, Sudden, Cardiac - prevention & control
Decision Support Techniques
Humans
Patient Selection
Predictive Value of Tests
Prognosis
Review
Risk Assessment
Risk Factors
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Description
Summary:Anomalous aortic origin of a coronary artery (AAOCA) is the second leading cause of sudden cardiac death in young athletes. The pathophysiology leading to sudden cardiac death, the specific risks associated with the different varieties of AAOCA, and the effects of different management strategies on the risk of sudden cardiac death are all unknown. This article describes the current knowledge of AAOCA, a proposed nomenclature for the different anatomic subtypes, the different modalities used to diagnose and characterize the disease, the available management strategies, and an algorithm used by the authors to diagnose and manage these patients.
ISSN:1947-6094
1947-6108
DOI:10.14797/mdcj-15-2-111