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

J Am Coll Cardiol. 2023 Nov 21;82(21):2034-2053. doi: 10.1016/j.jacc.2023.08.012. Epub 2023 Oct 16.

Abstract

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.

Keywords: AAOCA; anomalous origin coronary arteries; coronary anomaly; treatment.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / diagnostic imaging
  • Coronary Vessel Anomalies* / diagnosis
  • Coronary Vessel Anomalies* / diagnostic imaging
  • Coronary Vessel Anomalies* / therapy
  • Humans