Key result
PCI with stenting for anomalous coronary arteries with an interarterial course achieves 100% angiographic success.
Why the study?
Current guidelines recommend surgical repair for AAOCA mainly based on pediatric data and lack randomized controlled studies, with decision-making differing in adults less exposed to sudden cardiac death risk.
Does percutaneous coronary intervention improve outcomes in adults with right anomalous aortic origin of a coronary artery with an interarterial course?
Population
Adults with right AAOCA with interarterial course and ischemic symptoms or myocardial ischemia
Comparison
Percutaneous coronary intervention versus surgical repair
Design
Review of published results
Authors
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AAOCA repair decisions in adults should differ from pediatric guidelines; leaves open need for dedicated RCTs.
Does percutaneous coronary intervention improve outcomes in adults with right anomalous aortic origin of a coronary artery with an interarterial course?
This review discusses the rationale and published results for using percutaneous coronary intervention as an alternative to surgery in adults with right anomalous aortic origin of a coronary artery and ischemic symptoms.
Aubry et al. (2021) conducted a review in Anomalous aortic origin of a coronary artery (AAOCA) with interarterial course (n=75). Percutaneous coronary intervention with stenting was evaluated on Angiographic success. Percutaneous coronary intervention with stenting for anomalous aortic origin of a coronary artery with an interarterial course achieved 100% angiographic success across published series.
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