Surgical Management of Anomalous Aortic Origin of a Coronary Artery

Angioplastía primaria en infarto agudo al miocardio en arteria coronaria derecha con origen anómalo: Caso clínico

“…En pacientes sometidos a estudio coronariográfico 3,4 con hallazgo de ACA, se ha encontrado que hasta 22% de los pacientes tenía signos de infarto antiguo en ECG de 12 derivaciones, sin establecer una relación clara con la ACA existente. En pacientes con anomalía coronaria sintomática sometidos a resolución quirúrgica, 15% presentaba historia de infarto antiguo atribuible a la anomalía 16 . 18,19 , siendo este caso el primero descrito en el medio local y latinoamericano, también aparecen en la literatura algunos casos descritos de IAM en ACA que han sido manejados con cirugía 20 o angioplastía diferida 13 .…”

Consideration of the Necessity of Prophylactic Bypass Grafting for Anomalous Origin of the Right Coronary Artery—Based on a Case with Concomitant Left Main Trunk Disease Resuscitated from Cardiopulmonary Arrest

“…The coronary artery is compressed toward main pulmonary artery, which results in critical reduction in coronary blood flow. Mayo clinic reported that surgery is indicated for a symptomatic patient or a patient with positive result in stress testing who hope for active lifestyles [6]. ACC/AHA guideline shows that surgery is recommended for a patient with evidence of ischemia (Level of evidence B) [7].…”

Surgical treatment of a patient with heart disease and congenital coronary anomaly

“…In 80 % of autopsies in athletes with sudden cardiac death and anomalous coronary artery origins, the affected coronary artery coursed between the aorta and the pulmonary artery. Furthermore, in 90-94 % of such patients, the intramural course of the affected coronary artery was noted [9,10]. The intramural left coronary artery ran inside the aortic wall anteriorly or posteriorly and takes off from the aorta at the left coronary sinus [11].…”

“…The ACC/AHA writing committee [8] recommended that surgical coronary revascularization should be performed in such a high-risk group of patients. Excellent outcomes have been reported with a unroofing technique for the intramural course of the coronary artery between the aorta and the pulmonary artery [9][10][11].…”