Clinical Presentation and Medium-Term Outcomes of Children With Anomalous Aortic Origin of the Left Coronary Artery: High-Risk Features Beyond Interarterial Course.
Tam T DoanJ Kevin WilkesDana L Reaves-O'NealCarlos Bonilla-RamirezShagun SachdevaPrakash MasandCarlos M MeryZiyad BinsalamahJeffrey S HeinleSilvana M MolossiPublished in: Circulation. Cardiovascular interventions (2023)
Inducible ischemia was noted in all 3 AAOLCA subtypes while most aborted sudden cardiac deaths occurred in interarterial AAOLCA (group 1). Aborted sudden cardiac death and cardiogenic shock may occur in AAOLCA with left/nonjuxtacommissural origin and intramural course, thus also deemed high-risk. A systematic approach is essential to adequately risk stratify this population.