Surgery for anomalous aortic origin of coronary arteries : a multicentre study from the European Congenital Heart Surgeons Association

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dc.contributor University of Helsinki, HUS Children and Adolescents en
dc.contributor.author Padalino, Massimo A.
dc.contributor.author Franchetti, Nicola
dc.contributor.author Hazekamp, Mark
dc.contributor.author Sojak, Vladimir
dc.contributor.author Carrel, Thierry
dc.contributor.author Frigiola, Alessandro
dc.contributor.author Lo Rito, Mauro
dc.contributor.author Horer, Jurgen
dc.contributor.author Roussin, Regine
dc.contributor.author Cleuziou, Julie
dc.contributor.author Meyns, Bart
dc.contributor.author Fragata, Jose
dc.contributor.author Telles, Helena
dc.contributor.author Polimenakos, Anastasios C.
dc.contributor.author Francois, Katrien
dc.contributor.author Veshti, Altin
dc.contributor.author Salminen, Jukka
dc.contributor.author Rocafort, Alvaro Gonzalez
dc.contributor.author Nosal, Matej
dc.contributor.author Vedovelli, Luca
dc.contributor.author Guariento, Alvise
dc.contributor.author Vida, Vladimiro L.
dc.contributor.author Sarris, George E.
dc.contributor.author Boccuzzo, Giovanna
dc.contributor.author Stellin, Giovanni
dc.date.accessioned 2019-11-08T13:42:01Z
dc.date.available 2019-11-08T13:42:01Z
dc.date.issued 2019-10
dc.identifier.citation Padalino , M A , Franchetti , N , Hazekamp , M , Sojak , V , Carrel , T , Frigiola , A , Lo Rito , M , Horer , J , Roussin , R , Cleuziou , J , Meyns , B , Fragata , J , Telles , H , Polimenakos , A C , Francois , K , Veshti , A , Salminen , J , Rocafort , A G , Nosal , M , Vedovelli , L , Guariento , A , Vida , V L , Sarris , G E , Boccuzzo , G & Stellin , G 2019 , ' Surgery for anomalous aortic origin of coronary arteries : a multicentre study from the European Congenital Heart Surgeons Association ' , European Journal of Cardio-Thoracic Surgery , vol. 56 , no. 4 , pp. 696-703 . https://doi.org/10.1093/ejcts/ezz080 en
dc.identifier.issn 1010-7940
dc.identifier.other PURE: 127997075
dc.identifier.other PURE UUID: 6399f944-1b53-4833-a980-98963a004600
dc.identifier.other WOS: 000491248300008
dc.identifier.uri http://hdl.handle.net/10138/306839
dc.description.abstract OBJECTIVES: We sought to describe early and late outcomes in a large surgical series of patients with anomalous aortic origin of coronary arteries. METHODS: We performed a retrospective multicentre study including surgical patients with anomalous aortic origin of coronary arteries since 1991. Patients with isolated high coronary takeoff and associated major congenital heart disease were excluded. RESULTS: We collected 156 surgical patients (median age 39.5 years, interquartile range 15-53) affected by anomalous right (67.9%), anomalous left (22.4%) and other anatomical abnormalities (9.6%). An interarterial course occurred in 86.5%, an intramural course in 62.8% and symptoms in 85.9%. The operations included coronary unroofing (56.4%), reimplantation (19.2%), coronary bypass graft (15.4%) and other (9.0%). Two patients with preoperative cardiac failure died postoperatively (1.3%). All survivors were discharged home in good clinical condition. At a median follow-up of 2 years (interquartile range 1-5, 88.5% complete), there were 3 deaths (2.2%), 9 reinterventions in 8 patients (5 interventional, 3 surgical); 91.2% are in New York Heart Association functional class CONCLUSIONS: Surgical repair of anomalous aortic origin of coronary arteries is effective and has few complications. Unroofing and coronary reimplantation are safe and are the most common procedures. The occurrence of late adverse events is not negligible, and long-term surveillance is mandatory. Most young athletes can return to an unrestrained lifestyle. en
dc.format.extent 8
dc.language.iso eng
dc.relation.ispartof European Journal of Cardio-Thoracic Surgery
dc.rights en
dc.subject Cardiac surgery en
dc.subject Anomalous coronary arteries en
dc.subject Congenital en
dc.subject Outcomes en
dc.subject SUDDEN CARDIAC DEATH en
dc.subject SURGICAL REPAIR en
dc.subject TASK-FORCE en
dc.subject SINUS en
dc.subject MANAGEMENT en
dc.subject BYPASS en
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology en
dc.title Surgery for anomalous aortic origin of coronary arteries : a multicentre study from the European Congenital Heart Surgeons Association en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1093/ejcts/ezz080
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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