Surgery for Anomalous Aortic Origin of a Coronary Artery (AAOCA) in Children and Adolescents: A Meta-Analysis.
World J Pediatr Congenit Heart Surg
; 13(4): 485-494, 2022 07.
Article
en En
| MEDLINE
| ID: mdl-35757950
ABSTRACT
We conducted a systematic review and meta-analysis of the literature to assess the outcomes of surgery for the anomalous aortic origin of a coronary artery in children and young adults (<30 years). Thirteen publications were selected, including a total of 384 patients. Unroofing of the intramural segment was adopted in 92% (95% CI 81%-98%) of cases, with pooled early and late mortality of 0% (95% CI 0%-0.3%) and 0.1% (95% CI 0%-1%), respectively. Reoperation for aortic regurgitation was anecdotal. Surgical management of anomalous aortic origin of coronary arteries can be achieved with excellent results in pediatric patients, but concerns remain about the durability of surgery.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Insuficiencia de la Válvula Aórtica
/
Anomalías de los Vasos Coronarios
Tipo de estudio:
Observational_studies
/
Systematic_reviews
Límite:
Adolescent
/
Adult
/
Child
/
Humans
Idioma:
En
Revista:
World J Pediatr Congenit Heart Surg
Año:
2022
Tipo del documento:
Article
País de afiliación:
Italia