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SHR Neuro Cancer Cardio Lipid Metab Microb

Gaudino, M; Di Franco, A; Arbustini, E; Bacha, E; Bates, ER; Cameron, DE; Cao, DVD; David, TE; De Paulis, R; El-Hamamsy, I; Farooqi, KM; Girardi, LN; Grani, C; Kochav, JD; Molossi, S; Puskas, JD; Rao, SV; Sandner, S; Tatoulis, J; Truong, QA; Weinsaft, JW; Zimpfer, D; Mery, CM.
Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review
ANN THORAC SURG. 2023; 116(6): 1124-1141. Doi: 10.1016/j.athoracsur.2023.09.025
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Co-authors Med Uni Graz: Zimpfer Daniel
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Abstract:: As a result of increasing adoption of imaging screening, the number of adult patients with a diagnosis of anomalous aortic origin of the coronary arteries (AAOCA) has grown in recent years. Existing guidelines provide a framework for management and treatment, but patients with AAOCA present with a wide range of anomalies and symptoms that make general recommendations of limited applicability. In particular, a large spectrum of interventions can be used for treatment, and there is no consensus on the optimal approach to be used. In this paper, a multidisciplinary group of clinical and interventional cardiologists and cardiac surgeons performed a systematic review and critical evaluation of the available evidence on the interventional treatment of AAOCA in adult patients. Using a structured Delphi process, the group agreed on expert recommendations that are intended to complement existing clinical practice guidelines.