Management and Anesthetic Considerations for Patients With Anomalous Aortic Origin of a Coronary Artery.
The term "coronary artery anomalies" encompasses a large and heterogeneous group of disorders that may affect origin, intrinsic anatomy, course, location, and termination of the coronary arteries. With these different anatomies, presentation, symptoms, and outcomes are heterogeneous as well. While significant efforts are directed toward improving diagnosis and risk-stratification, best evidence-guided practices remain in evolution. Data about anesthetic management of patients with coronary anomalies are lacking as well. This review aims to provide the anesthesiologist with a better understanding of an important subgroup of coronary artery anomalies: anomalous aortic origin of a coronary artery. We will discuss classification, pathophysiology, incidence, evaluation, management, and anesthetic implications of this potentially fatal disease group.
['Kloesel|Benjamin|B|https://orcid.org/0000-0002-6485-5951', 'Richtsfeld|Martina|M|', 'Konia|Mojca|M|', 'Bass|John L|JL|']
D000758:Anesthesia D000072080:Anesthesiologists D000776:Anesthesiology D000777:Anesthetics D001011:Aorta D003330:Coronary Vessel Anomalies D006801:Humans
anomalous aortic origin of a coronary artery coronary artery anomalies anomalous coronary artery arising from the opposite sinus of Valsalva interarterial course intramural course sudden cardiac death