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Table 3 Outcomes of surgical management of AAOCA and study limitations

From: Anomalous aortic origin of coronary arteries from the opposite sinus: A critical appraisal of risk

Author

N (ARCA/ALCA)

Length of follow-up (mean or median in years)

Adverse outcome reported

Number of adverse events (ARCA/ ALCA)

Study limitations

Romp et al., 2003 [70]

9 (3/6)

2.4

Valvular dysfunction

1 (0/1)

- Short follow-up

Garcia-Rinaldi et al., 2004 [73]

16 (16/0)

6.8

Graft bleed, vessel occlusion

2 (2/0)

- All adult patients (28-79yo)

 

- No postoperative stress testing reported

Erez et al., 2006 [32]

9 (5/4)

1

None

0 (0/0)

- Short follow-up

Alphonso et al., 2007 [74]

4 (2/2)

1.9

None

0 (0/0)

- Short follow-up

 

- Small N

Brothers et al., 2007 [56]

24 (16/8)

1.25

Ischemic changes, pericardial effusion

10 (8/2)

- Short follow-up

 

- No uniform preoperative testing

Fedoruk et al., 2007 [75]

5 (5/0)

1

RV dysfunction due to air embolus

1 (1/0)

- Short follow-up

 

- Small N

Gulati et al., 2007 [33]

18 (10/8)

2.2

Transient complete heart block, worsening heart failure, pericarditis requiring medical treatment

4 (Not specified)

- Short follow-up

 

- No postoperative stress testing reported

Hamzeh et al., 2008 [76]

4 (4/0)

2

Distal RCA stenosis requiring stent placement 48 hrs post-op

1 (1/0)

- Short follow-up

- Small N

- Reimplantation only

 

- All patients #62;30yo

Tavaf-Motamen et al., 2008 [61]

4 (4/0)

0.8

Graft failure

2 (2/0)

- Short follow-up

 

- Small N

Davies et al., 2009 [77]

36 (21/15)

1.1

Atrial fibrillation, subdural hematoma (died 2 months later)

7 (not specified)

- Short follow-up

 

- No postoperative stress testing reported

elZein et al., 2009 [78]

8 (6/2)

1.2

None

0 (0/0)

- 2 patients lost to follow-up

- Short follow-up

 

- No postoperative stress testing reported

Frommelt et al., 2011 [79]

27 (20/7)

1.8

None

0 (0/0)

- Short follow-up

Krasuski et al., 2011*[80]

28 (20/8)

8.2

None

0 (0/0)

- Outcome assessment limited to survival only

Mainwaring et al., 2011 [81]

48 (31/17)

5.7

Pleural effusions, postcardiotomy syndrome, heart block, heart transplantation

8 (not specified)

- No postoperative stress testing reported

Mumtaz et al., 2011 [82]

22 (15/7)

1.4

None

0 (0/0)

- Short follow-up

     

- Inconsistent postoperative stress testing

  1. Abbreviations: ARCA = Anomalous right coronary artery from the left sinus; ALCA = Anomalous left coronary artery from the right sinus.
  2. * Mortality was the only outcome assessed, all other studies listed reported on morbidity and mortality.