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Repair techniques for anomalous aortic origins of the coronary arteries*

Published online by Cambridge University Press:  16 December 2015

Constantine Mavroudis ,
Constantine D. Mavroudis  and
Jeffrey P. Jacobs
Constantine Mavroudis*
Affiliation:
Department of Surgery, Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MarylandUnited States of America Department of Surgery, Division of Cardiovascular Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, FloridaUnited States of America
Constantine D. Mavroudis
Affiliation:
Department of Surgery, Division of Cardiothoracic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, United States of America
Jeffrey P. Jacobs
Affiliation:
Department of Surgery, Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MarylandUnited States of America Department of Surgery, Division of Cardiovascular Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, FloridaUnited States of America
*
Correspondence to: Dr C. Mavroudis, MD, Johns Hopkins Children’s Heart Surgery, Florida Hospital for Children, 2501 N Orange Ave, Suite 540, Orlando, FL 32804, United States of America. Tel: 407 303 3697; Fax: 407 303 3634; E-mail: constantine.mavroudis.md@flhosp.org
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Abstract

Anomalous aortic origins of the coronary arteries comprise approximately one-third of all coronary artery anomalies and are characterised by coronary arteries with anomalies of aortic origin involving abnormal courses, stenoses, and compression that can lead to myocardial ischaemia and sudden death. Operative techniques to treat these anomalies have not been standardised yet. Moreover, the management of potential complications has not been addressed. Common and rare forms of anomalous aortic origins of the coronary arteries are reviewed and understood standard techniques for an uncomplicated unroofing procedure are illustrated. Also noted are techniques that can be applied to unexpected anatomical findings and unwanted complications that could prove to be life-threatening. Several technical recommendations are offered.

Keywords

Myocardial ischaemiastenosissudden deathunroofing
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1546 - 1560
Copyright
© Cambridge University Press 2015 

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Footnotes

*

Presented at the Johns Hopkins All Children’s Heart Institute 15th Annual International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, United States of America, Friday 6 February, 2015 to Monday 9 February, 2015.

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