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Anomalous aortic origin of coronary arteries from the opposite sinus: a critical appraisal of risk.

Abstract：

BACKGROUND:Anomalous 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. DISCUSSION:In 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. SUMMARY:Armed 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.

journal_name

BMC Cardiovasc Disord

journal_title

BMC cardiovascular disorders

authors

Peñalver JM,Mosca RS,Weitz D,Phoon CK

doi

10.1186/1471-2261-12-83

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

83

issn

1471-2261

pii

1471-2261-12-83

journal_volume

12

pub_type

杂志文章,评审

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