Original articlePediatric cardiacAnomalous Aortic Origin of a Coronary Artery: Medium-Term Results After Surgical Repair in 50 Patients
Section snippets
Material and Methods
This study was submitted to the Institutional Review Board at each of the participating institutions and received separate approvals. Medical and clinic records were reviewed and a telephone survey was conducted to ascertain the patients' current health status.
This study summarizes the surgical experience with 50 patients undergoing repair of AAOCA from January 1999 through August 2010. The median age of the patients was 14 years, with a range of 5 days to 47 years. The age groups are shown in
Results
There was no operative mortality. Surgical complications occurred in 7 patients, including pleural effusions in 3, postcardiotomy syndrome in 3, and heart block in 1. The median duration of follow-up for this cohort of 50 patients was 5.7 years, with a mean of 5.3 ± 4.2 years. There were 2 patients who were lost to follow-up. The first was followed for 7 years after AAOCA repair but entered into military service and could not be located. The other patient had been followed for 2 years after
Comment
This study summarizes our experience with 50 patients who underwent surgical repair of AAOCA. There has been no operative mortality, and with an average duration follow-up of 5 and 1/2 years, there has been no late mortality. Twenty six of our patients had symptoms attributable to myocardial ischemia preoperatively, and none of these patients have had a recurrence of their symptoms during the postoperative period of surveillance. The majority of patients have resumed a normal, unrestricted
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