Repair techniques for anomalous aortic origins of the coronary arteries

Constantine Mavroudis, Constantine D. Mavroudis, Jeffrey P. Jacobs

Research output: Contribution to journalArticle

Abstract

Anomalous aortic origins of the coronary arteries comprise approximately one-third of all coronary artery anomalies and are characterised by coronary arteries with anomalies of aortic origin involving abnormal courses, stenoses, and compression that can lead to myocardial ischaemia and sudden death. Operative techniques to treat these anomalies have not been standardised yet. Moreover, the management of potential complications has not been addressed. Common and rare forms of anomalous aortic origins of the coronary arteries are reviewed and understood standard techniques for an uncomplicated unroofing procedure are illustrated. Also noted are techniques that can be applied to unexpected anatomical findings and unwanted complications that could prove to be life-threatening. Several technical recommendations are offered.

Original languageEnglish (US)
Pages (from-to)1546-1560
Number of pages15
JournalCardiology in the Young
Volume25
Issue number8
DOIs
StatePublished - Dec 1 2015

Keywords

  • Myocardial ischaemia
  • stenosis
  • sudden death
  • unroofing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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