Beyond the third dimension: combined functional and anatomical assessment of anomalous origin of coronary arteries

Anomalous aortic origin of a coronary artery (AAOCA) is one of the commonest causes of sudden cardiac death in healthy children and young adults.1 Although surgery is effective in relieving ischemia related to AAOCA, it remains unclear which patients benefit from surgery, and which would remain asymptomatic for their entire lifetime. When there is evidence of ischemia, there is consensus that surgery is reasonable.2 However, in the case of asymptomatic AAOCA of the right coronary artery (AAORCA) the optimal approach remains unknown.
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CONGENITAL – Commentary Source Type: research