Place of Angioplasty for Coronary Artery Anomalies With Interarterial Course

Autor: Pierre Aubry, Xavier Halna du Fretay, Olivier Boudvillain, Philippe Degrell, The ANOCOR Working Group
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine, Vol 7 (2021)
Druh dokumentu: article
ISSN: 2297-055X
DOI: 10.3389/fcvm.2020.596018
Popis: Few patients with an anomalous aortic origin of a coronary artery (AAOCA) require a correction of this congenital anomaly. Current recommendations offer surgical repair as a first line therapy to prevent a sudden cardiac death as a main objective. However, these guidelines are focused on children and not based on randomized controlled studies. Furthermore, decision-making should be different in an adult population less exposed to the risk of sudden cardiac death. Current practices showed reluctance to offer a surgical treatment for right AAOCA associated with ischemic symptoms or myocardial ischemia. Our aim in this review is to expose the rationale for percutaneous coronary intervention in right AAOCA with interarterial course and to present the published results.
Databáze: Directory of Open Access Journals