Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review
The anomalous aortic origin of the right coronary artery (AAORCA) from the left sinus is a congenital anomaly affecting both the origin and course of the right coronary artery. AAORCA is nowadays easily and increasingly recognized by several cardiac imaging modalities. In most cases, patients remain...
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| Format: | Article |
| Language: | English |
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Wiley
2021-11-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.121.022377 |
| _version_ | 1797985335050764288 |
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| author | Lara Gharibeh Kenza Rahmouni Seok Joon Hong Andrew M. Crean Juan B. Grau |
| author_facet | Lara Gharibeh Kenza Rahmouni Seok Joon Hong Andrew M. Crean Juan B. Grau |
| author_sort | Lara Gharibeh |
| collection | DOAJ |
| description | The anomalous aortic origin of the right coronary artery (AAORCA) from the left sinus is a congenital anomaly affecting both the origin and course of the right coronary artery. AAORCA is nowadays easily and increasingly recognized by several cardiac imaging modalities. In most cases, patients remain asymptomatic; however, in some, and especially in young athletes, symptoms start to appear following exertion. A literature review was conducted on the surgical management of AAORCA by searching the Pubmed and Google Scholar databases. The inclusion criteria included manuscripts reporting surgical outcomes of AAORCA for ≥1 of the 3 techniques of interest (unroofing, reimplantation, and coronary artery bypass grafting) and manuscripts written in English and that were published between 2010 and 2020. The surgical management of AAORCA can be done through several techniques, most commonly the unroofing of the intramural segment of the AAORCA, the reimplantation of the native right coronary artery onto the right sinus of the aortic root, and coronary artery bypass grafting with either arterial or venous graft conduits with or without ligation of the proximal right coronary artery. Superiority of one surgical technique has not yet been formally proven because of the rare nature of this condition and the lack of any prospective randomized controlled trial or robust prospective observational studies. |
| first_indexed | 2024-04-11T07:15:22Z |
| format | Article |
| id | doaj.art-420273864a0f4e21948861fb104d5f3e |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-11T07:15:22Z |
| publishDate | 2021-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-420273864a0f4e21948861fb104d5f3e2022-12-22T04:37:57ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802021-11-01102210.1161/JAHA.121.022377Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative ReviewLara Gharibeh0Kenza Rahmouni1Seok Joon Hong2Andrew M. Crean3Juan B. Grau4Division of Cardiac Surgery University of Ottawa Heart Institute Ottawa Ontario CanadaDepartment of Biochemistry, Microbiology and Immunology University of Ottawa Ottawa Ontario CanadaDivision of Cardiothoracic Surgery The Valley Hospital Ridgewood NJDivision of Cardiology University of Ottawa Heart Institute Ottawa Ontario CanadaDivision of Cardiac Surgery University of Ottawa Heart Institute Ottawa Ontario CanadaThe anomalous aortic origin of the right coronary artery (AAORCA) from the left sinus is a congenital anomaly affecting both the origin and course of the right coronary artery. AAORCA is nowadays easily and increasingly recognized by several cardiac imaging modalities. In most cases, patients remain asymptomatic; however, in some, and especially in young athletes, symptoms start to appear following exertion. A literature review was conducted on the surgical management of AAORCA by searching the Pubmed and Google Scholar databases. The inclusion criteria included manuscripts reporting surgical outcomes of AAORCA for ≥1 of the 3 techniques of interest (unroofing, reimplantation, and coronary artery bypass grafting) and manuscripts written in English and that were published between 2010 and 2020. The surgical management of AAORCA can be done through several techniques, most commonly the unroofing of the intramural segment of the AAORCA, the reimplantation of the native right coronary artery onto the right sinus of the aortic root, and coronary artery bypass grafting with either arterial or venous graft conduits with or without ligation of the proximal right coronary artery. Superiority of one surgical technique has not yet been formally proven because of the rare nature of this condition and the lack of any prospective randomized controlled trial or robust prospective observational studies.https://www.ahajournals.org/doi/10.1161/JAHA.121.022377anomalous right coronary artery from left sinuscongenital heart diseasecoronary artery bypass graft surgeryRCA translocation and re‐implantationunroofing |
| spellingShingle | Lara Gharibeh Kenza Rahmouni Seok Joon Hong Andrew M. Crean Juan B. Grau Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease anomalous right coronary artery from left sinus congenital heart disease coronary artery bypass graft surgery RCA translocation and re‐implantation unroofing |
| title | Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review |
| title_full | Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review |
| title_fullStr | Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review |
| title_full_unstemmed | Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review |
| title_short | Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review |
| title_sort | surgical techniques for the treatment of anomalous origin of right coronary artery from the left sinus a comparative review |
| topic | anomalous right coronary artery from left sinus congenital heart disease coronary artery bypass graft surgery RCA translocation and re‐implantation unroofing |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.121.022377 |
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