Key result
AAOCA ranks second for young athlete SCD with ~8 cardiac arrests per 100,000 person-years.
Why the study?
The pathophysiology leading to sudden cardiac death in AAOCA, specific risks of different varieties, and effects of management strategies are unknown.
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This review provides a comprehensive overview and a standardized clinical algorithm for the diagnosis and management of anomalous aortic origin of a coronary artery in pediatric and young adult patients.
May support AAOCA consideration in young athlete evaluations; confirms SCD prominence but leaves management thresholds open.
Anomalous aortic origin of a coronary artery (AAOCA) is the second leading cause of sudden cardiac death in young athletes. The pathophysiology leading to sudden cardiac death, the specific risks associated with the different varieties of AAOCA, and the effects of different management strategies on the risk of sudden cardiac death are all unknown. This article describes the current knowledge of AAOCA, a proposed nomenclature for the different anatomic subtypes, the different modalities used to diagnose and characterize the disease, the available management strategies, and an algorithm used by the authors to diagnose and manage these patients.
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Molossi et al. (2019) conducted a null in anomalous aortic origin of a coronary artery (AAOCA). surgical intervention for AAOCA vs. non-surgical management was evaluated on sudden cardiac death (SCD) due to AAOCA. Anomalous aortic origin of a coronary artery (AAOCA) is the second leading cause of sudden cardiac death (SCD) in young athletes, associated with an incidence of 8 cardiac arrests per 100,000 person-years in those under 21 years of age.
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