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

Mario Gaudino; Antonino Di Franco; Eloisa Arbustini; Emile Bacha; Eric R. Bates; Duke E. Cameron; Davide Cao; Tirone E. David; Ruggero De Paulis; Ismail El-Hamamsy; Kanwal M. Farooqi; Leonard N. Girardi; Christoph Gräni; Jonathan D. Kochav; Silvana Molossi; John D. Puskas; Sunil V. Rao; Sigrid Sandner; James Tatoulis; Quynh A. Truong; Jonathan W. Weinsaft; Daniel Zimpfer; Carlos M. Mery

doi:10.1016/j.jacc.2023.08.012

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

Mario Gaudino, Antonino Di Franco, Eloisa Arbustini, Emile Bacha, Eric R. Bates, Duke E. Cameron, Davide Cao, Tirone E. David, Ruggero De Paulis, Ismail El-Hamamsy, Kanwal M. Farooqi, Leonard N. Girardi, Christoph Gräni, Jonathan D. Kochav, Silvana Molossi, John D. Puskas, Sunil V. Rao, Sigrid Sandner, James Tatoulis, Quynh A. TruongJonathan W. Weinsaft, Daniel Zimpfer, Carlos M. Mery

Research output: Contribution to journal › Review article › peer-review

32 Scopus citations

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.

Original language	English
Pages (from-to)	2034-2053
Number of pages	20
Journal	Journal of the American College of Cardiology
Volume	82
Issue number	21
DOIs	https://doi.org/10.1016/j.jacc.2023.08.012
State	Published - 21 Nov 2023

Keywords

AAOCA
anomalous origin coronary arteries
coronary anomaly
treatment

Access to Document

10.1016/j.jacc.2023.08.012

Cite this

Gaudino, M., Di Franco, A., Arbustini, E., Bacha, E., Bates, E. R., Cameron, D. E., Cao, D., David, T. E., De Paulis, R., El-Hamamsy, I., Farooqi, K. M., Girardi, L. N., Gräni, C., Kochav, J. D., Molossi, S., Puskas, J. D., Rao, S. V., Sandner, S., Tatoulis, J., ... Mery, C. M. (2023). Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review. Journal of the American College of Cardiology, 82(21), 2034-2053. https://doi.org/10.1016/j.jacc.2023.08.012

@article{d661ab3a12e241e4971eb231760347c4,

title = "Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review",

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",

author = "Mario Gaudino and \{Di Franco\}, Antonino and Eloisa Arbustini and Emile Bacha and Bates, \{Eric R.\} and Cameron, \{Duke E.\} and Davide Cao and David, \{Tirone E.\} and \{De Paulis\}, Ruggero and Ismail El-Hamamsy and Farooqi, \{Kanwal M.\} and Girardi, \{Leonard N.\} and Christoph Gr{\"a}ni and Kochav, \{Jonathan D.\} and Silvana Molossi and Puskas, \{John D.\} and Rao, \{Sunil V.\} and Sigrid Sandner and James Tatoulis and Truong, \{Quynh A.\} and Weinsaft, \{Jonathan W.\} and Daniel Zimpfer and Mery, \{Carlos M.\}",

note = "Publisher Copyright: {\textcopyright} 2023 American College of Cardiology and The Society of Thoracic Surgeons",

year = "2023",

month = nov,

day = "21",

doi = "10.1016/j.jacc.2023.08.012",

language = "English",

volume = "82",

pages = "2034--2053",

journal = "Journal of the American College of Cardiology",

issn = "0735-1097",

publisher = "Elsevier Inc.",

number = "21",

}

Gaudino, M, Di Franco, A, Arbustini, E, Bacha, E, Bates, ER, Cameron, DE, Cao, D, David, TE, De Paulis, R, El-Hamamsy, I, Farooqi, KM, Girardi, LN, Gräni, C, Kochav, JD, Molossi, S, Puskas, JD, Rao, SV, Sandner, S, Tatoulis, J, Truong, QA, Weinsaft, JW, Zimpfer, D & Mery, CM 2023, 'Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review', Journal of the American College of Cardiology, vol. 82, no. 21, pp. 2034-2053. https://doi.org/10.1016/j.jacc.2023.08.012

TY - JOUR

T1 - Management of Adults With Anomalous Aortic Origin of the Coronary Arteries

T2 - State-of-the-Art Review

AU - Gaudino, Mario

AU - Di Franco, Antonino

AU - Arbustini, Eloisa

AU - Bacha, Emile

AU - Bates, Eric R.

AU - Cameron, Duke E.

AU - Cao, Davide

AU - David, Tirone E.

AU - De Paulis, Ruggero

AU - El-Hamamsy, Ismail

AU - Farooqi, Kanwal M.

AU - Girardi, Leonard N.

AU - Gräni, Christoph

AU - Kochav, Jonathan D.

AU - Molossi, Silvana

AU - Puskas, John D.

AU - Rao, Sunil V.

AU - Sandner, Sigrid

AU - Tatoulis, James

AU - Truong, Quynh A.

AU - Weinsaft, Jonathan W.

AU - Zimpfer, Daniel

AU - Mery, Carlos M.

PY - 2023/11/21

Y1 - 2023/11/21

N2 - 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.

AB - 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.

KW - AAOCA

KW - anomalous origin coronary arteries

KW - coronary anomaly

KW - treatment

UR - https://www.scopus.com/pages/publications/85175457463

U2 - 10.1016/j.jacc.2023.08.012

DO - 10.1016/j.jacc.2023.08.012

M3 - Review article

C2 - 37855783

AN - SCOPUS:85175457463

SN - 0735-1097

VL - 82

SP - 2034

EP - 2053

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

IS - 21

ER -

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

Abstract

Keywords

Access to Document

Fingerprint

Cite this