Anomalous aortic origin of coronary arteries from the opposite sinus: A critical appraisal of riskReportar como inadecuado




Anomalous aortic origin of coronary arteries from the opposite sinus: A critical appraisal of risk - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Cardiovascular Disorders

, 12:83

Cardiovascular surgery

Abstract

BackgroundAnomalous aortic origin of the coronary artery AAOCA from the opposite sinus of Valsalva with an interarterial course has received much attention due to its association with sudden death in otherwise healthy individuals. AAOCA is relatively common and may have significant public health implications. While our knowledge of its pathophysiology and natural history remains incomplete, an emphasis has been placed on surgical correction.

DiscussionIn 2005 we published a review examining the rates of sudden death with AAOCA, as well as complications of surgical management. Evidence now points even more strongly to lower rates of sudden death, while surgical outcomes data now better documents associated risks.

SummaryArmed with this updated information, we agree with the need for a national registry to better track patients with AAOCA. We submit that the risks of surgical management outweigh any benefits in the asymptomatic patient with anomalous right coronary artery, and expectant management should also be strongly considered even in asymptomatic patients with anomalous left coronary artery.

KeywordsCoronary artery anomaly Sudden cardiac death Anomalous aortic origin of the coronary artery Heart defects Congenital AbbreviationsAAOCAAnomalous aortic origin of the coronary artery arising from the opposite sinus

ALCAAnomalous left coronary artery arising from the right sinus of Valsalva

ARCAAnomalous right coronary artery arising from the left sinus of Valsalva

CTComputed tomography

IVUSIntravascular ultrasound

MRAMagnetic resonance angiography

SCDSudden cardiac death

TEETransesophageal echocardiography

TTETransthoracic echocardiography.

Download fulltext PDF



Autor: Josiah M Peñalver - Ralph S Mosca - Daniel Weitz - Colin KL Phoon

Fuente: https://link.springer.com/article/10.1186/1471-2261-12-83







Documentos relacionados