AUTHOR=Padalino Massimo A. , Jegatheeswaran Anusha , Blitzer David , Ricciardi Gabriella , Guariento Alvise TITLE=Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=8 YEAR=2021 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2021.626108 DOI=10.3389/fcvm.2021.626108 ISSN=2297-055X ABSTRACT=

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.