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Surgical Repair of 115 Patients With Anomalous Aortic Origin of a Coronary Artery From a Single Institution
Anomalous aortic origin of a coronary artery (AAOCA) has been associated with myocardial ischemia and sudden death. There are several controversies regarding the indications and efficacy of surgery. This report analyzes the experience of one center whose institutional approach has been to recommend surgical treatment for all patients identified with AAOCA between the ages of 10 and 30 years, with a more selective approach based upon symptoms and other factors for patients under the age of 10 or over the age of 30. In all, 115 patients have undergone surgical repair of AAOCA. The results demonstrate that AAOCA surgery can be performed safely and is effective in relieving symptoms of myocardial ischemia. For the first time, an association between AAOCA and myocardial bridges is reported.