Coronary Artery Anomalies: Current Recognition and Treatment Strategies. Update on Recent Progress

Introduction to anomalous aortic origin of a coronary artery

“…In the majority of patients with interarterial, intramural ALCA‐R, and symptomatic ARCA‐L, the modified unroofing procedure is recommended. While this procedure has a very low mortality rate, generally associated with preoperative ischemia and aborted SCD, there have been several reports of postoperative morbidity . In adults, one study found no difference in mortality over a 10‐year‐period when comparing exercise restriction versus surgery .…”

“…While this procedure has a very low mortality rate, generally associated with preoperative ischemia and aborted SCD, 10 there have been several reports of postoperative morbidity. 11,12 In adults, one study found no difference in mortality over a 10-year-period when comparing exercise restriction versus surgery. 13 The long-term morbidity and mortality rate with children and young adults is still unknown.…”