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A minimally invasive, algorithm-based approach for anomalous aortic origin of a coronary artery.

Publication ,  Journal Article
Conway, BD; Bates, MJ; Hanfland, RA; Yerkes, NS; Patel, SS; Calcaterra, D; Turek, JW
Published in: Innovations (Phila)
2015

OBJECTIVE: Operative repair for anomalous aortic origin of a coronary artery (AAOCA) has been described using various innovative techniques. Common to each series is the use of a full sternotomy. As demand for minimally invasive approaches to adult cardiac surgery has increased, the upper hemisternotomy has emerged as a safe and effective technique for aortic valve and root replacement. This report reviews our results and describes the application of an upper hemisternotomy to an algorithm-based surgical approach for AAOCA. METHODS: From January 2012 to March 2013, the aortic root was approached via a 7-cm skin incision and upper hemisternotomy for all patients undergoing repair of an AAOCA. The type of repair performed was in accordance with a predefined surgical algorithm. The anomalous vessel had a slit-like ostium and followed a supracommissural intramural course in three patients with symptomatic anomalous right coronary artery. These patients underwent coronary unroofing. In contrast, a patient with an anomalous left coronary artery presented without an intramural segment and underwent vessel translocation and reimplantation. RESULTS: All patients underwent AAOCA repair according to our surgical algorithm and via an upper hemisternotomy. The median length of stay was 4 days. All patients had resolution of symptoms, and there were no reported complications at a median follow-up of 16.5 months. CONCLUSIONS: This series describes a minimally invasive approach to AAOCA repair. When used in conjunction with a defined surgical algorithm, this technique enables a safe and effective repair in all forms of AAOCA without concomitant coronary artery disease.

Duke Scholars

Published In

Innovations (Phila)

DOI

EISSN

1559-0879

Publication Date

2015

Volume

10

Issue

2

Start / End Page

101 / 105

Location

United States

Related Subject Headings

  • Young Adult
  • Respiratory System
  • Prospective Studies
  • Minimally Invasive Surgical Procedures
  • Male
  • Humans
  • Echocardiography
  • Coronary Vessels
  • Coronary Vessel Anomalies
  • Cardiac Surgical Procedures
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Conway, B. D., Bates, M. J., Hanfland, R. A., Yerkes, N. S., Patel, S. S., Calcaterra, D., & Turek, J. W. (2015). A minimally invasive, algorithm-based approach for anomalous aortic origin of a coronary artery. Innovations (Phila), 10(2), 101–105. https://doi.org/10.1097/IMI.0000000000000135
Conway, Brian D., Michael J. Bates, Robert A. Hanfland, Nicholas S. Yerkes, Sonali S. Patel, Domenico Calcaterra, and Joseph W. Turek. “A minimally invasive, algorithm-based approach for anomalous aortic origin of a coronary artery.Innovations (Phila) 10, no. 2 (2015): 101–5. https://doi.org/10.1097/IMI.0000000000000135.
Conway BD, Bates MJ, Hanfland RA, Yerkes NS, Patel SS, Calcaterra D, et al. A minimally invasive, algorithm-based approach for anomalous aortic origin of a coronary artery. Innovations (Phila). 2015;10(2):101–5.
Conway, Brian D., et al. “A minimally invasive, algorithm-based approach for anomalous aortic origin of a coronary artery.Innovations (Phila), vol. 10, no. 2, 2015, pp. 101–05. Pubmed, doi:10.1097/IMI.0000000000000135.
Conway BD, Bates MJ, Hanfland RA, Yerkes NS, Patel SS, Calcaterra D, Turek JW. A minimally invasive, algorithm-based approach for anomalous aortic origin of a coronary artery. Innovations (Phila). 2015;10(2):101–105.

Published In

Innovations (Phila)

DOI

EISSN

1559-0879

Publication Date

2015

Volume

10

Issue

2

Start / End Page

101 / 105

Location

United States

Related Subject Headings

  • Young Adult
  • Respiratory System
  • Prospective Studies
  • Minimally Invasive Surgical Procedures
  • Male
  • Humans
  • Echocardiography
  • Coronary Vessels
  • Coronary Vessel Anomalies
  • Cardiac Surgical Procedures