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Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls

Anomalous aortic origin of a coronary artery (AAOCA) is reported as the second leading cause of sudden cardiac death in otherwise healthy young individuals. Several surgical studies have reported a shallow operative risk, describing repair as safe and effective with short or medium-term follow-up. H...

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Autores principales: Padalino, Massimo A., Jegatheeswaran, Anusha, Blitzer, David, Ricciardi, Gabriella, Guariento, Alvise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149602/
https://www.ncbi.nlm.nih.gov/pubmed/34055925
http://dx.doi.org/10.3389/fcvm.2021.626108
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author Padalino, Massimo A.
Jegatheeswaran, Anusha
Blitzer, David
Ricciardi, Gabriella
Guariento, Alvise
author_facet Padalino, Massimo A.
Jegatheeswaran, Anusha
Blitzer, David
Ricciardi, Gabriella
Guariento, Alvise
author_sort Padalino, Massimo A.
collection PubMed
description Anomalous aortic origin of a coronary artery (AAOCA) is reported as the second leading cause of sudden cardiac death in otherwise healthy young individuals. Several surgical studies have reported a shallow operative risk, describing repair as safe and effective with short or medium-term follow-up. However, surgical repair can also be associated with a high risk of complications. Numerous repair techniques have been described in the literature, but each technique's indications and limitations are often not well-understood or understated. Since explicit technical knowledge of the most appropriate surgical technique is highly desirable, we sought to thoroughly and clearly outline the safeguards and pitfalls of the most common surgical techniques used to repair AAOCA.
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spelling pubmed-81496022021-05-27 Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls Padalino, Massimo A. Jegatheeswaran, Anusha Blitzer, David Ricciardi, Gabriella Guariento, Alvise Front Cardiovasc Med Cardiovascular Medicine Anomalous aortic origin of a coronary artery (AAOCA) is reported as the second leading cause of sudden cardiac death in otherwise healthy young individuals. Several surgical studies have reported a shallow operative risk, describing repair as safe and effective with short or medium-term follow-up. However, surgical repair can also be associated with a high risk of complications. Numerous repair techniques have been described in the literature, but each technique's indications and limitations are often not well-understood or understated. Since explicit technical knowledge of the most appropriate surgical technique is highly desirable, we sought to thoroughly and clearly outline the safeguards and pitfalls of the most common surgical techniques used to repair AAOCA. Frontiers Media S.A. 2021-05-12 /pmc/articles/PMC8149602/ /pubmed/34055925 http://dx.doi.org/10.3389/fcvm.2021.626108 Text en Copyright © 2021 Padalino, Jegatheeswaran, Blitzer, Ricciardi and Guariento. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Padalino, Massimo A.
Jegatheeswaran, Anusha
Blitzer, David
Ricciardi, Gabriella
Guariento, Alvise
Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls
title Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls
title_full Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls
title_fullStr Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls
title_full_unstemmed Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls
title_short Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls
title_sort surgery for anomalous aortic origin of coronary arteries: technical safeguards and pitfalls
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149602/
https://www.ncbi.nlm.nih.gov/pubmed/34055925
http://dx.doi.org/10.3389/fcvm.2021.626108
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