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Common questions

Is surgery needed

Reported techniques include unroofing, coronary translocation, and bypass grafting, and the choice depends on the specific anatomy. Most records here are single-centre case series with small samples and varying follow-up, so results are not directly comparable between studies. Whether and when to operate is a decision to work through with a surgical team.

This site organises published research to help you talk with your clinician. It does not replace medical diagnosis or advice.

Related records

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Consensus and guidelines first; records without full text last.

2020PediatricFull text hereConsensus / guideline

先天性心脏病外科治疗中国专家共识（十二）：先天性冠状动脉异常

中国胸心血管外科临床杂志

DOI 10.7507/1007-4848.202008031

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2017PediatricFull text hereConsensus / guideline

Expert consensus guidelines: Anomalous aortic origin of a coronary artery

Journal of Thoracic and Cardiovascular Surgery

DOI 10.1016/j.jtcvs.2016.06.066PMID 28274557

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2026PediatricFull text here

Coronary artery anomalies in children: subtype classification, age of onset, clinical outcomes, and prognostic implications

BMC Pediatrics

DOI 10.1186/s12887-026-06574-3PMID 41772489

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2026PediatricFull text here

Surgical Outcomes of anomalous aortic origin of coronary arteries: early and mid-term results from a single-center experience

BMC Pediatrics

DOI 10.1186/s12887-026-06746-1

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2026PediatricFull text here

Surgical Results for Anomalous Aortic Origin of Coronary Artery - Is Right Side Prompt Surgery Necessary?

Circulation Journal

DOI 10.1253/circj.CJ-25-0097PMID 40958550

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2025AdultFull text here

Anomalous Aortic Origin of a Coronary Artery: Results from a Single Surgical Team in Spain

World Journal for Pediatric and Congenital Heart Surgery

DOI 10.1177/21501351241278684

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2025PediatricFull text here

Right Axillary Thoracotomy for Anomalous Aortic Origin of a Coronary Artery in Children

Congenital Heart Disease

DOI 10.32604/chd.2026.076517

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2025AdultFull text here

Surgical approach and outcomes in adults with anomalous aortic origin of coronary arteries at a reference center: Outcomes of proximal coronary surgery

JTCVS Open

DOI 10.1016/j.xjon.2025.05.011PMID 41169309

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2025PediatricFull text here

Surgical treatment of anomalous aortic origin of the coronary artery in paediatric patients: a Chinese single-center experience

BMC Surgery

DOI 10.1186/s12893-025-02781-4

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2025PediatricFull text here

The Diagnosis and Therapeutic Management of Anomalous Aortic Origin of the Coronary Artery: A Retrospective Study Conducted at a Single Center in China

Reviews in Cardiovascular Medicine

DOI 10.31083/RCM33432PMID 40776969

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2024PediatricFull text here

Anomalous Aortic Origin of a Coronary Artery in Pediatric Patients

Current Pediatrics Reports

DOI 10.1007/s40124-024-00317-7PMID 39816672

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2024AdultFull text here

Surgical outcomes in adolescents and adults with anomalous aortic origin of a coronary artery

Frontiers in Cardiovascular Medicine

DOI 10.3389/fcvm.2024.1489303

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2023AdultFull text here

Treatment of Anomalous Coronary Arteries-Surgical Revascularisation Using the Pure Internal Thoracic Artery Technique

Journal of Cardiovascular Development and Disease

DOI 10.3390/jcdd10040155PMID 37103034

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2023PediatricFull text here

Trends in surgical management of anomalous aortic origin of the coronary artery over 2 decades

JTCVS Open

DOI 10.1016/j.xjon.2023.07.017PMID 38204671

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2022PediatricFull text here

Surgery for Anomalous Aortic Origin of a Coronary Artery (AAOCA) in Children and Adolescents: A Meta-Analysis

World Journal for Pediatric and Congenital Heart Surgery

DOI 10.1177/21501351221095424

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2022AdultFull text here

Therapeutic Management of Anomalous Coronary Arteries Originating From the Opposite Sinus of Valsalva: Current Evidence, Proposed Approach, and the Unknowing

Journal of the American Heart Association

DOI 10.1161/JAHA.122.027098PMID 36205254

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2021AdultFull text here

Anomalous Aortic Origin of a Coronary Artery Repair Through an Anterior Minithoracotomy

Innovations

DOI 10.1177/15569845211031541

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2021AdultFull text here

The significance of symptoms before and after surgery for anomalous aortic origin of coronary arteries in adolescents and adults

Interactive CardioVascular and Thoracic Surgery

DOI 10.1093/icvts/ivaa234PMID 33221843

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2020PediatricFull text here

Anomalous aortic origin of a coronary artery in two children

Asian Cardiovascular & Thoracic Annals

DOI 10.1177/0218492319870614

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2018AdultFull text here

Clinical Strategies of Anomalous Aortic Origin of the Coronary Artery Arising from the Opposite Sinus

中国分子心脏病学杂志

DOI 10.16563/j.cnki.1671-6272.2018.06.005

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2018PediatricFull text here

Patients with anomalous aortic origin of the coronary artery remain at risk after surgical repair

Journal of Thoracic and Cardiovascular Surgery

DOI 10.1016/j.jtcvs.2017.12.134PMID 29526358

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2011PediatricFull text here

Anomalous Aortic Origin of a Coronary Artery: Preoperative Diagnosis and Surgical Planning

World Journal for Pediatric and Congenital Heart Surgery

DOI 10.1177/2150135111406938

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2026PediatricFull text not held here

A punch-assisted unroofing technique for anomalous aortic origin of coronary arteries

General Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1007/s11748-026-02395-4PMID 42720893

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2026AdultFull text not held here

Anomalous Aortic Origin of the Right Coronary Artery in Adults: Surgical Reimplantation With Intermediate-Term Results

World Journal for Pediatric and Congenital Heart Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1177/21501351261450105PMID 42272401

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2026AdultFull text not held here

Exercise-Induced Ventricular Tachycardia Unmasking High-Risk Anomalous Right Coronary Artery in an Adult

JACC: Case Reports

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jaccas.2026.109216PMID 42496626

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2026PediatricFull text not held here

Long intramural left coronary artery confined to the left sinus of Valsalva with diastolic deformation: a case report

European Heart Journal - Case Reports

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1093/ehjcr/ytag661PMID 42712868

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2026PediatricFull text not held here

Outcomes after surgical management of anomalous aortic origin of a coronary artery (AAOCA): an up-to-date systematic review and meta-analysis

Translational Pediatrics

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.21037/tp-2026-0455PMID 42724142

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2026PediatricFull text not held here

Patient-specific hemodynamic assessment using experimental and computational approaches in anomalous aortic origin of the coronary artery: Case study

JTCVS Techniques

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.xjtc.2026.102378PMID 42577246

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2025PediatricFull text not held here

Outcomes of 230 Patients Undergoing Surgical Repair of Anomalous Aortic Origin of a Coronary Artery

The Annals of Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.athoracsur.2025.01.029PMID 39983947

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2025PediatricFull text not held here

What is the Optimal Surgical Technique for Anomalous Aortic Origin of a Coronary Artery?

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1053/j.pcsu.2025.02.006PMID 40382131

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2024AdultFull text not held here

Surgical Management of Anomalous Right Coronary Artery in the Adult: Technique and Case Series

Heart, Lung and Circulation

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.hlc.2024.01.028PMID 38403570

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2023PediatricFull text not held here

Anomalous Aortic Origin of Coronary Arteries in Children: Postoperative High-risk Anatomic Features

The Annals of Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.athoracsur.2022.11.024PMID 36470562

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2023AdultFull text not held here

Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review

Journal of the American College of Cardiology

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jacc.2023.08.012PMID 37855757

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2023AdultFull text not held here

Outcomes of a protocolized approach for surgical unroofing of intramural anomalous aortic origin of coronary artery in children and adults

Journal of Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jtcvs.2022.11.037PMID 36690526

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2022PediatricFull text not held here

Anomalous Aortic Origin of Right Coronary Artery: Outcomes of Surgical and Nonsurgical Treatment

The Annals of Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.athoracsur.2021.11.008PMID 34890570

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2021PediatricFull text not held here

Outcomes in anomalous aortic origin of a coronary artery after surgical reimplantation

Journal of Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jtcvs.2020.12.100PMID 33541731

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2020PediatricFull text not held here

Outcomes after anomalous aortic origin of a coronary artery repair: A Congenital Heart Surgeons' Society Study

Journal of Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jtcvs.2020.01.114PMID 32800265

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2019PediatricFull text not held here

Complete unroofing of the intramural coronary artery for anomalous aortic origin of a coronary artery: The role of commissural resuspension?

Journal of Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jtcvs.2019.01.140PMID 30955961

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2018PediatricFull text not held here

Outcomes of surgical intervention for anomalous aortic origin of a coronary artery: A large contemporary prospective cohort study

Journal of Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jtcvs.2017.08.116PMID 29074047

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2016AdultFull text not held here

Anomalous Coronary Arteries: Analysis of Clinical Outcome Based Upon Arterial Course and Surgical Intervention in an Adult Population

Academic Radiology

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.acra.2016.03.020PMID 27161207

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2016PediatricFull text not held here

Decision analysis to define the optimal management of athletes with anomalous aortic origin of a coronary artery

Journal of Thoracic and Cardiovascular Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.jtcvs.2016.07.076PMID 27751241

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2016AdultFull text not held here

Surgical Results and Outcomes After Reimplantation for the Management of Anomalous Aortic Origin of the Right Coronary Artery

The Annals of Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.athoracsur.2016.02.002PMID 27112655

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2014PediatricFull text not held here

Surgical repair of anomalous aortic origin of a coronary artery

European Journal of Cardio-Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1093/ejcts/ezt614PMID 24431169

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2014AdultFull text not held here

Surgical unroofing of anomalous aortic origin of a coronary artery: a single-center experience

The Annals of Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/j.athoracsur.2014.04.114PMID 25038010

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2003PediatricFull text not held here

Outcome of unroofing procedure for repair of anomalous aortic origin of left or right coronary artery

The Annals of Thoracic Surgery

Bibliographic record only — the full text must be obtained from the publisher.

DOI 10.1016/s0003-4975(03)00436-3PMID 12902110

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Other questions

What is this condition

Where the coronary arteries arise, and why position matters

How serious is it

Risk stratification, sudden death, long-term follow-up

Which tests are used

What CT, MRI, echocardiography, and stress testing can show

Can sport continue

Activity restriction, return to training, competitive participation

What clinicians rely on

Consensus statements and clinical guidelines