Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Sep;7(5):604-610.
doi: 10.21037/acs.2018.08.02.

Surgical management of anomalous coronary arteries

Affiliations
Review

Surgical management of anomalous coronary arteries

Chin Siang Ong et al. Ann Cardiothorac Surg. 2018 Sep.

Abstract

Anomalies in the coronary arterial circulation have been described since classical antiquity by Galen and through the Medical Renaissance by Vesalius, but their clinical significance and association with sudden cardiac death (SCD) has only been appreciated over the last 4 decades. Advances in cardiac surgery and cardiovascular intensive care have led to decreasing overall postoperative mortality and morbidity associated with cardiac surgery. The decision whether to surgically treat an anomaly of coronary artery origin and course, and the risk-to-benefit ratio of surgical treatment in preventing a potentially lethal complication of SCD, requires careful, deliberate consideration based on the best available evidence. In this keynote lecture, we aim to deliver a concise discussion of the current surgical management of anomalous coronary arteries.

Keywords: Cardiac surgery; anomalous coronary arteries; congenital heart disease; surgical management.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Video
Video
Surgical management of anomalous coronary arteries.

References

    1. Mirchandani S, Phoon CK. Management of anomalous coronary arteries from the contralateral sinus. Int J Cardiol 2005;102:383-9. 10.1016/j.ijcard.2004.10.010 - DOI - PubMed
    1. Sanes S. Anomalous origin and course of the left coronary artery in a child: So-called congenital absence of the left coronary artery. Am Heart J 1937;14:219-29. 10.1016/S0002-8703(37)91317-6 - DOI
    1. Angelini P, Villason S, Chan AV Jr, et al. Normal and Anomalous Coronary Arteries in Humans. Part 1: Historical Background. Coronary Artery Anomalies, 1999.
    1. Cheitlin MD, De Castro CM, McAllister HA. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation 1974;50:780-7. 10.1161/01.CIR.50.4.780 - DOI - PubMed
    1. Sundaram B, Kreml R, Patel S. Imaging of coronary artery anomalies. Radiol Clin North Am 2010;48:711-27. 10.1016/j.rcl.2010.04.006 - DOI - PubMed