Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review

Abstract 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, patien...

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Autores principales:	Lara Gharibeh, Kenza Rahmouni, Seok Joon Hong, Andrew M. Crean, Juan B. Grau
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	anomalous right coronary artery from left sinus congenital heart disease coronary artery bypass graft surgery RCA translocation and re‐implantation unroofing Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/420273864a0f4e21948861fb104d5f3e
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spelling	oai:doaj.org-article:420273864a0f4e21948861fb104d5f3e2021-11-16T10:22:44ZSurgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review10.1161/JAHA.121.0223772047-9980https://doaj.org/article/420273864a0f4e21948861fb104d5f3e2021-11-01T00:00:00Zhttps://www.ahajournals.org/doi/10.1161/JAHA.121.022377https://doaj.org/toc/2047-9980Abstract 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.Lara GharibehKenza RahmouniSeok Joon HongAndrew M. CreanJuan B. GrauWileyarticleanomalous right coronary artery from left sinuscongenital heart diseasecoronary artery bypass graft surgeryRCA translocation and re‐implantationunroofingDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 22 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anomalous right coronary artery from left sinus congenital heart disease coronary artery bypass graft surgery RCA translocation and re‐implantation unroofing Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	anomalous right coronary artery from left sinus congenital heart disease coronary artery bypass graft surgery RCA translocation and re‐implantation unroofing Diseases of the circulatory (Cardiovascular) system RC666-701 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
description	Abstract 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.
format	article
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
title	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_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_sort	surgical techniques for the treatment of anomalous origin of right coronary artery from the left sinus: a comparative review
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/420273864a0f4e21948861fb104d5f3e
work_keys_str_mv	AT laragharibeh surgicaltechniquesforthetreatmentofanomalousoriginofrightcoronaryarteryfromtheleftsinusacomparativereview AT kenzarahmouni surgicaltechniquesforthetreatmentofanomalousoriginofrightcoronaryarteryfromtheleftsinusacomparativereview AT seokjoonhong surgicaltechniquesforthetreatmentofanomalousoriginofrightcoronaryarteryfromtheleftsinusacomparativereview AT andrewmcrean surgicaltechniquesforthetreatmentofanomalousoriginofrightcoronaryarteryfromtheleftsinusacomparativereview AT juanbgrau surgicaltechniquesforthetreatmentofanomalousoriginofrightcoronaryarteryfromtheleftsinusacomparativereview
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Surgical Techniques for the Treatment of Anomalous Origin of Right Coronary Artery From the Left Sinus: A Comparative Review

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