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 - Article
C2 - 30095030
AN - SCOPUS:85052550556
SN - 1089-2532
VL - 22
SP - 383
EP - 394
JO - Seminars in Cardiothoracic and Vascular Anesthesia
JF - Seminars in Cardiothoracic and Vascular Anesthesia
IS - 4
ER -
