Management and Anesthetic Considerations for Patients With Anomalous Aortic Origin of a Coronary Artery

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)383-394
Number of pages12
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume22
Issue number4
DOIs
StatePublished - Dec 1 2018

Fingerprint

Anesthetics
Coronary Vessels
Anatomy
Incidence

Keywords

  • anomalous aortic origin of a coronary artery
  • anomalous coronary artery arising from the opposite sinus of Valsalva
  • coronary artery anomalies
  • interarterial course
  • intramural course
  • sudden cardiac death

Cite this

@article{58c92579f3664ddc8c20bb70ec7b667f,
title = "Management and Anesthetic Considerations for Patients With Anomalous Aortic Origin of a Coronary Artery",
abstract = "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.",
keywords = "anomalous aortic origin of a coronary artery, anomalous coronary artery arising from the opposite sinus of Valsalva, coronary artery anomalies, interarterial course, intramural course, sudden cardiac death",
author = "Benjamin Kloesel and Martina Richtsfeld and Mojca Konia and Bass, {John L.}",
year = "2018",
month = "12",
day = "1",
doi = "10.1177/1089253218793888",
language = "English (US)",
volume = "22",
pages = "383--394",
journal = "Seminars in Cardiothoracic and Vascular Anesthesia",
issn = "1089-2532",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - Management and Anesthetic Considerations for Patients With Anomalous Aortic Origin of a Coronary Artery

AU - Kloesel, Benjamin

AU - Richtsfeld, Martina

AU - Konia, Mojca

AU - Bass, John L.

PY - 2018/12/1

Y1 - 2018/12/1

N2 - 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.

AB - 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.

KW - anomalous aortic origin of a coronary artery

KW - anomalous coronary artery arising from the opposite sinus of Valsalva

KW - coronary artery anomalies

KW - interarterial course

KW - intramural course

KW - sudden cardiac death

UR - http://www.scopus.com/inward/record.url?scp=85052550556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052550556&partnerID=8YFLogxK

U2 - 10.1177/1089253218793888

DO - 10.1177/1089253218793888

M3 - Review article

C2 - 30095030

AN - SCOPUS:85052550556

VL - 22

SP - 383

EP - 394

JO - Seminars in Cardiothoracic and Vascular Anesthesia

JF - Seminars in Cardiothoracic and Vascular Anesthesia

SN - 1089-2532

IS - 4

ER -