Anomalous Aortic Origin of a Coronary Artery: Medium-Term Results After Surgical Repair in 50 Patients

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

“…When CABG is employed, consideration should be given to the presence of competitive flow in the native coronary circulation (1196). In children and some adults, an unroofing procedure or coronary arterial reimplantation may provide the best long term results (1197,1198). The risk associated with these coronary anomalies if they are left untreated and the existing operative experience make corrective surgery reasonable in these individuals (1180 In the STS Adult Cardiac Database predictive algorithms, the presence of chronic obstructive pulmonary disease preoperatively was an independent predictor of mortality, the need for prolonged postoperative ventilator support, and renal failure (1203).…”

Anomalous Aortic Origin of a Coronary Artery: Toward a Standardized Approach

“…35 This has been specifically used in cases where there is a single coronary ostium and no intramural segment.…”

Proximal Anomalous Connections of Coronary Arteries in Adults

“…The authors concluded that the results of their study must not be applied to younger patients because the mortality risk is not the same. Mainwaring et al reported medium-term results after surgical repair of ANOCOR in 50 patients with a mean age of 14 years (Mainwaring, et al, 2011). Congenital cardiac abnormalities were associated in 14 patients.…”

“…Surgical practice has evolved in the time from coronary artery bypass grafting to direct surgical repair. To date, unroofing technique seems the more used in young people (Davies et al, 2009, Frommelt et al, 2011, Mainwaring et al 2011. The rate of perioperative death is near to zero in small series of children and young people (Davies et al, 2009, Erez et al, 2006, Karl et al, 2010.…”