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https://www.readbyqxmd.com/read/27834765/a-comparison-of-perioperative-management-of-anomalous-aortic-origin-of-a-coronary-artery-between-an-adult-and-pediatric-cardiac-center
#1
Jeremy L Herrmann, Leah A Goldberg, Abigail M Khan, Sara L Partington, Julie A Brothers, Christopher E Mascio, Thomas L Spray, Yuli Y Kim, Stephanie Fuller
BACKGROUND: Anomalous aortic origin of a coronary artery (AAOCA) presents in varying age-groups. Assuming management algorithms differ between pediatric and adult institutions, we compared the perioperative management of patients with AAOCA at two such centers. METHODS: A retrospective review was conducted at a pediatric and an adult institution of patients 14 years or older who underwent surgical repair of AAOCA between January 2000 and May 2014. RESULTS: Twenty patients from the pediatric center (median age: 16...
November 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/27142404/surgical-repair-of-115-patients-with-anomalous-aortic-origin-of-a-coronary-artery-from-a-single-institution
#2
Richard D Mainwaring, Daniel J Murphy, Ian S Rogers, Frandics P Chan, Edwin Petrossian, Michal Palmon, Frank L Hanley
OBJECTIVES: Anomalous aortic origin of a coronary artery (AAOCA) has been associated with myocardial ischemia and sudden death. The past decade has provided important insights into the natural history and typical patterns of presentation. However, there are also a number of unresolved controversies regarding the indications for surgery and the efficacy of that surgery. The purpose of this study was to review our surgical experience with AAOCA in 115 patients at a single institution. DESIGN: One hundred and fifteen patients have undergone surgical repair of AAOCA at our institution...
May 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/27142397/utility-of-multimodality-imaging-in-the-morphologic-characterization-of-anomalous-aortic-origin-of-a-coronary-artery
#3
Simon Lee, Santosh C Uppu, Irene D Lytrivi, Javier Sanz, Justin Weigand, Miwa K Geiger, Rajesh U Shenoy, Kanwal Farooqi, Khanh H Nguyen, Ira A Parness, Shubhika Srivastava
BACKGROUND: Anomalous aortic origin of a coronary artery from the wrong Sinus of Valsalva (AAOCA) is a rare congenital anomaly and is associated with sudden cardiac death. Morphologic features considered to be "high risk" are significant luminal narrowing, acute coronary angulation at its origin, intramural course, and long interarterial course. A consistent approach for characterization of these features is lacking. METHODS: A retrospective single-center review of all patients diagnosed with AAOCA using echocardiogram and computed tomography (CT)/magnetic resonance imaging (MRI) studies was performed...
May 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/27060040/anomalous-aortic-origin-of-a-coronary-artery-is-not-always-a-surgical-disease
#4
REVIEW
Ralph S Mosca, Colin K L Phoon
Anomalous aortic origin of the coronary artery (AAOCA) from the opposite sinus of Valsalva with an interarterial course has become a high-profile lesion as a result of its association with sudden cardiac death in otherwise young and healthy individuals. Despite our incomplete knowledge of its pathophysiology and natural history, surgical intervention is often recommended. Evidence now shows AAOCA to be relatively common, with lower than previously suspected rates of sudden cardiac death. Analysis of this information reveals that AAOCA is not always a surgical disease...
2016: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://www.readbyqxmd.com/read/26852241/coronary-arteries-anomalous-aortic-origin-on-a-computed-tomography-angiography-population-prevalence-characteristics-and-clinical-impact
#5
José Amado, Mónica Carvalho, Wilson Ferreira, Paula Gago, Vasco Gama, Nuno Bettencourt
Anomalous aortic origin of coronary arteries (AAOCA) is one of the most frequent causes of cardiovascular sudden death among the young population. We aimed to determine the prevalence and anatomic characteristics of AAOCA in a population referred to computed tomography angiography (CTA) and to describe the clinical prognosis of these findings at middle term follow-up. From a total of 3539 CTA, 53 were found to have AAOCA. This population was compared to an age and gender matched control group (n = 106) from the same CTA list...
June 2016: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/26612431/diagnosis-of-functional-ischemia-in-a-right-coronary-artery-with-anomalous-aortic-origin
#6
Tetsuma Kawaji, Hiroki Shiomi, Satoshi Shizuta, Takeshi Kimura
Anomalous aortic origin of coronary artery (AAOCA) is rare but critical for the association with sudden cardiac death. In detecting the origin of AAOCA, coronary CT angiography is more accurate than invasive coronary angiography, but only with anatomical evaluation. A novel technology FFRCT, which is noninvasively computed by coronary CT image, can evaluate functional ischemia of coronary artery even without atherosclerotic plaque and has potential for innovation in AAOCA.
March 2016: Journal of Cardiovascular Computed Tomography
https://www.readbyqxmd.com/read/26563852/anomalous-aortic-origin-of-coronary-arteries-in-the-young-echocardiographic-evaluation-with-surgical-correlation
#7
MULTICENTER STUDY
Richard Lorber, Shubhika Srivastava, Travis J Wilder, Susan McIntyre, William M DeCampli, William G Williams, Peter C Frommelt, Ira A Parness, Eugene H Blackstone, Marshall L Jacobs, Luc Mertens, Julie A Brothers, J René Herlong
OBJECTIVES: This study sought to compare findings from institutional echocardiographic reports with imaging core laboratory (ICL) review of corresponding echocardiographic images and operative reports in 159 patients with anomalous aortic origin of a coronary artery (AAOCA). The study also sought to develop a "best practice" protocol for imaging and interpreting images in establishing the diagnosis of AAOCA. BACKGROUND: AAOCA is associated with sudden death in the young...
November 2015: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/25803771/a-minimally-invasive-algorithm-based-approach-for-anomalous-aortic-origin-of-a-coronary-artery
#8
Brian D Conway, Michael J Bates, Robert A Hanfland, Nicholas S Yerkes, Sonali S Patel, Domenico Calcaterra, Joseph W Turek
OBJECTIVE: Operative repair for anomalous aortic origin of a coronary artery (AAOCA) has been described using various innovative techniques. Common to each series is the use of a full sternotomy. As demand for minimally invasive approaches to adult cardiac surgery has increased, the upper hemisternotomy has emerged as a safe and effective technique for aortic valve and root replacement. This report reviews our results and describes the application of an upper hemisternotomy to an algorithm-based surgical approach for AAOCA...
March 2015: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/25441002/anomalous-aortic-origin-of-a-coronary-artery-toward-a-standardized-approach
#9
REVIEW
Carlos M Mery, Silvana M Lawrence, Rajesh Krishnamurthy, S Kristen Sexson-Tejtel, Kathleen E Carberry, E Dean McKenzie, Charles D Fraser
Anomalous aortic origin of a coronary artery (AAOCA) is a congenital abnormality of the origin or course of a coronary artery that arises from the aorta. It is the second most common cause of sudden cardiac death in young athletes. Its exact prevalence, the pathophysiological mechanisms that cause sudden cardiac death, the actual risk of death for the different types of AAOCA, the optimal way to evaluate these patients, and whether any treatment strategies decrease the risk of sudden cardiac death in patients diagnosed with AAOCA are unknown...
2014: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/25324246/repair-of-anomalous-aortic-origin-of-a-coronary-artery-in-113-patients-a-congenital-heart-surgeons-society-report
#10
Jeffrey A Poynter, Igor Bondarenko, Erle H Austin, William M DeCampli, Jeffrey P Jacobs, Gerhard Ziemer, Paul M Kirshbom, Christo I Tchervenkov, Tara Karamlou, Eugene H Blackstone, Henry L Walters, J William Gaynor, Carlos M Mery, Jeffrey M Pearl, Julie A Brothers, Christopher A Caldarone, William G Williams, Marshall L Jacobs, Constantine Mavroudis
BACKGROUND: Anomalous aortic origin of a coronary artery (AAOCA) encompasses a wide morphologic spectrum, which has impeded consensus regarding indications for the diverse repair strategies. We constructed a profile of current surgical techniques and explore their application to morphologic variants. METHODS: Patients<30 years old (n=113) with isolated AAOCA who underwent operations at 29 Congenital Heart Surgeons Society (CHSS) institutions from 1998 to 2012 were identified from the CHSS AAOCA Registry...
October 2014: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/25087812/direct-reimplantation-as-an-alternative-approach-for-treatment-of-anomalous-aortic-origin-of-the-right-coronary-artery
#11
Kenta Izumi, Manuel Wilbring, Jürgen Stumpf, Klaus Matschke, Utz Kappert
Anomalous aortic origin of the coronary artery (AAOCA) is a rare cardiac anomaly associated with myocardial ischemia, infarction, and even sudden death. We report 2 patients presenting with AAOCA of the right coronary artery originating from the left coronary sinus with an initial intramural course. In both patients, we performed uncomplicated direct reimplantation of the right coronary artery into the right coronary sinus. For this purpose, the right coronary artery was dissected from the transmural emersion point out of the aortic wall, subsequently as proximal as possible transected and directly reimplanted into the right coronary sinus...
August 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/25085263/utility-and-importance-of-new-echocardiographic-screening-methods-in-diagnosis-of-anomalous-coronary-origins-in-the-pediatric-population-assessment-of-quality-improvement
#12
Poonam P Thankavel, Matthew S Lemler, Claudio Ramaciotti
Anomalous aortic origin of coronaries from the contralateral sinus (AAOCA) is rare but an important cause of cardiac death in the otherwise healthy young athlete. This necessitates prompt, accurate identification; transthoracic echocardiography (TTE) remains the primary screening tool. Assessment of accuracy is difficult since the true prevalence of the disease is unknown, with estimates at 0.3-1.07%. The incidence by TTE remains much lower, between 0.09 and 0.17% even with sophisticated equipment and a high index of suspicion...
January 2015: Pediatric Cardiology
https://www.readbyqxmd.com/read/25038010/surgical-unroofing-of-anomalous-aortic-origin-of-a-coronary-artery-a-single-center-experience
#13
Vikas Sharma, Harold M Burkhart, Joseph A Dearani, Rakesh M Suri, Richard C Daly, Soon J Park, Justin M Horner, Sabrina D Phillips, Hartzell V Schaff
BACKGROUND: Anomalous aortic origin of a coronary artery (AAOCA) has been associated with myocardial ischemia and sudden death. The optimal management of patients with AAOCA is controversial. We examined our experience with surgical unroofing of AAOCA to determine the midterm effect of surgical repair. METHODS: From October 1992 through December 2011, 75 patients with AAOCA underwent surgical unroofing. RESULTS: Mean age was 39.6 ± 19.6 years; 23 patients (32%) were aged younger than 30 years...
September 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/24668975/linking-the-congenital-heart-surgery-databases-of-the-society-of-thoracic-surgeons-and-the-congenital-heart-surgeons-society-part-2-lessons-learned-and-implications
#14
Jeffrey P Jacobs, Sara K Pasquali, Erle Austin, J William Gaynor, Carl Backer, Jennifer C Hirsch-Romano, William G Williams, Christopher A Caldarone, Brian W McCrindle, Karen E Graham, Rachel S Dokholyan, Gregory J Shook, Jennifer Poteat, Maulik V Baxi, Tara Karamlou, Eugene H Blackstone, Constantine Mavroudis, John E Mayer, Richard A Jonas, Marshall L Jacobs
PURPOSE: A link has been created between the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and the Congenital Heart Surgeons' Society Database (CHSS-D). Five matrices have been created that facilitate the automated identification of patients who are potentially eligible for the five active CHSS studies using the STS-CHSD. These matrices are now used to (1) estimate the denominator of patients eligible for CHSS studies and (2) compare "eligible and enrolled patients" to "potentially eligible and not enrolled patients" to assess the generalizability of CHSS studies...
April 2014: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/24431169/surgical-repair-of-anomalous-aortic-origin-of-a-coronary-artery
#15
Richard D Mainwaring, V Mohan Reddy, Olaf Reinhartz, Edwin Petrossian, Rajesh Punn, Frank L Hanley
OBJECTIVES: Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital heart defect that has been associated with myocardial ischaemia and sudden death. There is an ongoing controversy over the indications for surgical intervention and the efficacy of that treatment compared with the natural history. The purpose of this study was to evaluate the medium-term results of surgical repair of AAOCA. METHODS: Seventy-six patients underwent surgical repair of AAOCA at our institution from 1999 to 2013...
July 2014: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/24403351/anomalous-aortic-origin-of-a-coronary-artery-a-report-from-the-congenital-heart-surgeons-society-registry
#16
Jeffrey A Poynter, William G Williams, Susan McIntyre, Julie A Brothers, Marshall L Jacobs
BACKGROUND: Anomalous aortic origin of a coronary artery (AAOCA) is a common congenital heart lesion that may be rarely associated with myocardial ischemia and sudden death in the young. Evidence-based criteria for managing young patients with AAOCA are lacking. The Congenital Heart Surgeons Society (CHSS) established a multicenter registry of patients with AAOCA aged ≤30 years to develop these criteria. METHODS: All institutional members of the CHSS are eligible to enroll patients...
January 1, 2014: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/23988284/medium-term-outcome-after-anomalous-aortic-origin-of-a-coronary-artery-repair-in-a-pediatric-cohort
#17
Carol A Wittlieb-Weber, Stephen M Paridon, J William Gaynor, Thomas L Spray, David R Weber, Julie A Brothers
BACKGROUND: Anomalous aortic origin of a coronary artery with an interarterial and intramural course (AAOCA) is a rare anomaly with increased risk of sudden cardiac death during or just after exercise among otherwise healthy youth. Risk stratification and management remain controversial, especially for the asymptomatic child with an anomalous right coronary artery from the left coronary sinus (ARCA). Medium-term surgical and quality-of-life (QOL) outcome data are lacking in this population...
May 2014: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/23803983/anomalous-aortic-origin-of-a-coronary-artery-preoperative-diagnosis-and-surgical-planning
#18
Immanuel I Turner, Joseph W Turek, James Jaggers, J Rene Herlong, Dale S Lawson, Andrew J Lodge
BACKGROUND: Anomalous aortic origin of a coronary artery (AAOCA), the anomalous coronary artery arises from an inappropriate coronary sinus and travels between the aorta and pulmonary artery. Proper surgical management depends upon correct diagnosis and accurate characterization of the origin and course of the coronary artery. Transthoracic echocardiography (TTE) has been the mainstay for diagnosis, but magnetic resonance imaging (MRI) and computed tomographic angiography (CTA) have been increasingly utilized...
July 1, 2011: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/23055055/sudden-cardiac-death-after-repair-of-anomalous-origin-of-left-coronary-artery-from-right-sinus-of-valsalva-with-an-interarterial-course-case-report-and-review-of-the-literature
#19
A L Nguyen, F Haas, J Evens, J M P J Breur
Anomalous aortic origin of the coronary artery from the opposite sinus with interarterial course (AAOCA) is a rare condition with a high risk of sudden cardiac death (SCD) during or after strenuous exertion. SCD after repair of this anomaly is extremely rare. Here we present a 15-year-old athlete who collapsed on the basketball court in whom an anomalous origin of the left coronary artery from the right sinus of Valsalva with interarterial course (ALCA) was diagnosed. In spite of extensive pre-sport participation testing, SCD occurred shortly after surgical correction...
November 2012: Netherlands Heart Journal
https://www.readbyqxmd.com/read/23025810/anomalous-aortic-origin-of-coronary-arteries-from-the-opposite-sinus-a-critical-appraisal-of-risk
#20
REVIEW
Josiah M Peñalver, Ralph S Mosca, Daniel Weitz, Colin K L Phoon
BACKGROUND: Anomalous aortic origin of the coronary artery (AAOCA) from the opposite sinus of Valsalva with an interarterial course has received much attention due to its association with sudden death in otherwise healthy individuals. AAOCA is relatively common and may have significant public health implications. While our knowledge of its pathophysiology and natural history remains incomplete, an emphasis has been placed on surgical correction. DISCUSSION: In 2005 we published a review examining the rates of sudden death with AAOCA, as well as complications of surgical management...
2012: BMC Cardiovascular Disorders
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