Current surgical management of anomalous aortic origin of a coronary artery

Abstract

Surgery for anomalous aortic coronary artery carries a low risk of mortality. However, there is a risk of aortic regurgitation and new ischemia, which must be considered when counseling patients.

Commentary: Noninvasive assessment of anomalous aortic origin of the right coronary artery: A simulated reality?

“… 2 , 3 , 4 However, it is not clear what to do with an asymptomatic individual. Although the operation to reimplant the RCA is relatively straightforward ( Figure 1 ), it is not without risk, 5 , 6 and the optimal management of an asymptomatic person with AAORCA is yet to be defined. 4 In this issue of the Journal , Jiang and colleagues 7 described the use of computed tomography angiogram (CTA)-based fluid–structure interaction (FSI) modeling as an adjunctive tool for assessing both the burden and mechanism of potential ischemia in patients with AAORCA.…”

Commentary: Cut your coat according to your cloth

“…2 Multiple techniques have been described for repair: unroofing of the intramural segment to relocate the ostium, direct reimplantation of the AAOCA, creation of a neoostium, and even coronary artery bypass grafting. 3 All these techniques aim to provide normal coronary flow at rest and under stress; however, which technique is appropriate for which patient remains unsettled. In this context, the study by Bonilla-Ramirez and colleagues 4 provides insight into technique choice from a group that has taken the lead in the organized approach to patients with AAOCA.…”