Key result
Anomalous aortic coronary origin presents with symptoms in ~54% of youth, frequently leading to surgery.
Why the study?
Evidence-based criteria for managing young patients with anomalous aortic origin of a coronary artery (AAOCA) are lacking.
Population
198 patients aged ≤30 years with AAOCA, median age 10.2 years, 64% male
Comparison
Surgically managed versus nonsurgically managed patients
Design
Multicenter registry observational cohort study
Follow-up
Annual follow-up planned
Authors
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Surgery selection tracks symptoms and morphology in anomalous coronaries; supports observational patterns but leaves open randomized outcome studies.
Observational (n=198)
Yes
In young patients with anomalous aortic origin of a coronary artery, surgical management is primarily driven by the presence of symptoms, older age, and specific high-risk coronary morphology such as an intramural segment.
Poynter et al. (2014) conducted an observational in Anomalous aortic origin of a coronary artery (AAOCA) (n=198). Anomalous aortic origin of a coronary artery (AAOCA) was evaluated. Among 198 young patients with anomalous aortic origin of a coronary artery, 54% were symptomatic at presentation and surgery was performed in 52% with AAORCA versus 67% with AAOLCA.
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