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

Gaudino, Mario; Di Franco, Antonino; Arbustini, Eloisa; Bacha, Emile; Bates, Eric R; Cameron, Duke E; Cao, Davide; David, Tirone E; De Paulis, Ruggero; El-Hamamsy, Ismail; Farooqi, Kanwal M; Girardi, Leonard N; Gräni, Christoph; Kochav, Jonathan D; Molossi, Silvana; Puskas, John D; Rao, Sunil V; Sandner, Sigrid; Tatoulis, James; Truong, Quynh A; ... (2023). Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review. The Annals of Thoracic Surgery, 116(6), pp. 1124-1141. Elsevier 10.1016/j.athoracsur.2023.09.025

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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.

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