Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review

Ann Thorac Surg. 2023 Dec;116(6):1124-1141. doi: 10.1016/j.athoracsur.2023.09.025. Epub 2023 Oct 16.

Abstract

As a result of increasing adoption of imaging screening, the number of adult patients with a diagnosis of anomalous aortic origin of the coronary arteries (AAOCA) has grown in recent years. Existing guidelines provide a framework for management and treatment, but patients with AAOCA present with a wide range of anomalies and symptoms that make general recommendations of limited applicability. In particular, a large spectrum of interventions can be used for treatment, and there is no consensus on the optimal approach to be used. In this paper, a multidisciplinary group of clinical and interventional cardiologists and cardiac surgeons performed a systematic review and critical evaluation of the available evidence on the interventional treatment of AAOCA in adult patients. Using a structured Delphi process, the group agreed on expert recommendations that are intended to complement existing clinical practice guidelines.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Adult
  • Aorta
  • Coronary Vessel Anomalies* / complications
  • Coronary Vessel Anomalies* / diagnosis
  • Coronary Vessel Anomalies* / surgery
  • Coronary Vessels* / surgery
  • Humans