Why the study?
Does surgical repair of AAOCA safely eliminate symptoms of myocardial ischaemia and prevent adverse events in affected patients?
Does surgical repair of AAOCA safely eliminate symptoms of myocardial ischaemia and prevent adverse events in affected patients?
Surgical repair of AAOCA is safe and effective for eliminating ischemic symptoms, leading to the recommendation that all identified teenagers undergo repair.
Supports AAOCA repair for symptom relief in experienced centers; leaves open long-term event prevention and optimal selection.
The results of this study demonstrate two major principles. First, surgical repair of AAOCA is quite safe in centres that take care of a significant number of patients with this entity. Secondly, the surgery is highly effective in eliminating symptoms of myocardial ischaemia. The growing amount of data on postoperative patients suggests that surgical repair can prevent the adverse events seen in the untreated 'natural' history. Based on these observations, it is our current recommendation that all teenagers identified with AAOCA should undergo surgical repair.
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Mainwaring et al. (2014) studied this question.
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