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Anomalous aortic origin of coronary arteries: Early results on clinical management from an international multicenter study
- Source :
- International Journal of Cardiology, 291, 189-193. ELSEVIER IRELAND LTD, INTERNATIONAL JOURNAL OF CARDIOLOGY, Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos), Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação, instacron:RCAAP, Padalino, Massimo A; Franchetti, Nicola; Sarris, George E; Hazekamp, Mark; Carrel, Thierry; Frigiola, Alessandro; Horer, Jurgen; Roussin, Regine; Cleuziou, Julie; Meyns, Bart; Fragata, Jose; Telles, Helena; Polimenakos, Anastasios C; Francois, Katrien; Veshti, Altin; Salminen, Jukka; Rocafort, Alvaro Gonzalez; Nosal, Matej; Vedovelli, Luca; Protopapas, Eleftherios; ... (2019). Anomalous aortic origin of coronary arteries: Early results on clinical management from an international multicenter study. International journal of cardiology, 291, pp. 189-193. Elsevier 10.1016/j.ijcard.2019.02.007
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- BACKGROUND: Anomalous aortic origin of coronary arteries (AAOCA) is a rare abnormality, whose optimal management is still undefined. We describe early outcomes in patients treated with different management strategies. METHODS: This is a retrospective clinical multicenter study including patients with AAOCA, undergoing or not surgical treatment. Patients with isolated high coronary take off and associated major congenital heart disease were excluded. Preoperative, intraoperative, anatomical and postoperative data were retrieved from a common database. RESULTS: Among 217 patients, 156 underwent Surgical repair (median age 39 years, IQR: 15-53), while 61 were Medical (median age 15 years, IQR: 8-52), in whom AAOCA was incidentally diagnosed during screening or clinical evaluations. Surgical patients were more often symptomatic when compared to medical ones (87.2% vs 44.3%, p
- Subjects :
- Anomalous coronary arteries
Clinical management
Congenital
Outcomes
Surgery
Cardiology and Cardiovascular Medicine
Male
Cardiac & Cardiovascular Systems
Internationality
Heart disease
Coronary Vessel Anomalies
CHILDREN
Coronary Vessel Anomalies / therapy
030204 cardiovascular system & hematology
Sudden cardiac death
0302 clinical medicine
QUALITY-OF-LIFE
Medicine and Health Sciences
Longitudinal Studies
030212 general & internal medicine
EXERCISE PERFORMANCE
Child
POPULATION
education.field_of_study
STATEMENT
Disease Management
Middle Aged
3. Good health
medicine.anatomical_structure
Female
Life Sciences & Biomedicine
Adult
medicine.medical_specialty
Adolescent
Population
610 Medicine & health
HSM CCT
Sudden death
Young Adult
03 medical and health sciences
Coronary Vessel Anomalies / diagnosis
SUDDEN-DEATH
Median follow-up
medicine
Humans
education
Retrospective Studies
Surgical repair
Science & Technology
business.industry
Retrospective cohort study
SURGICAL REPAIR
3126 Surgery, anesthesiology, intensive care, radiology
medicine.disease
Coronary arteries
Cardiovascular System & Cardiology
OPPOSITE SINUS
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 01675273 and 18741754
- Volume :
- 291
- Database :
- OpenAIRE
- Journal :
- International Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....f3308dff1b7827b13b245e076389d671