Table E12.
Surgical treatment and outcomes of patients with AAOCA in modern subcohort stratified by presence and location of obstructive CAD
| All |
No CAD |
Only anomalous coronary with CAD |
Normal- origin coronary with CAD |
||
|---|---|---|---|---|---|
| n (%) | n (%) | n (%) | n (%) | P value | |
| AAOCA repair | 92/273 (34) | 87/242 (36) | 4/19 (21) | 1/12 (8) | .068 |
| AAOCA repair type | .025 | ||||
| Unroofing | 64/92 (70) | 63/87 (72) | 1/4 (25) | 0/1 (0) | |
| CABG | 16/92 (17) | 14/87 (16) | 1/4 (25) | 1/1 (100) | |
| Reimplantation | 8/92 (8.7) | 7/87 (8) | 1/4 (25) | 0/1 (0) | |
| Aortocoronary Window | 2/92 (2.2) | 1/87 (1.1) | 1/4 (25) | 0/1 (0) | |
| Other | 2/92 (2.2) | 2/87 (2.3) | 0/4 (0) | 0/1 (0) | |
| Concomitant cardiac procedures | 34/92 (37) | 30/87 (35) | 4/4 (100) | 0/1 (0) | .025 |
| Aortic valve replacement/repair | 20/92 (22) | 19/87 (22) | 1/4 (25) | 0/1 (0) | .83 |
| Aortic root replacement/repair | 10/92 (11) | 9/87 (10) | 1/4 (25) | 0/1 (0) | .44 |
| CABG to another coronary | 9/92 (10) | 7/87 (8) | 2/4 (50) | 0/1 (0) | .0018 |
| Symptom change | .049 | ||||
| Improved | 55/92 (60) | 51/87 (64) | 2/4 (50) | 0/1 (0) | |
| Same | 22/92 (24) | 19/87 (24) | 2/4 (50) | 0/1 (0) | |
| Worse | 0/92 (0) | 0/87 (0) | 0/4 (0) | 0/1 (0) | |
| Unknown | 11/92 (12) | 10/87 (13) | 0/4 (0) | 1/1 (100) | |
| Symptom change | |||||
| Improved | 55/92 (60) | 51/87 (64) | 2/4 (50) | 0/1 (0) | .049 |
| Same | 22/92 (24) | 19/87 (24) | 2/4 (50) | 0/1 (0) | |
| Worse | 0/92 (0) | 0/87 (0) | 0/4 (0) | 0/1 (0) | |
| Unknown | 11/92 (12) | 10/87 (13) | 0/4 (0) | 1/1 (100) | |
| Complications | ∗ | ||||
| Arrhythmia | 13/92 (14) | 12/87 (14) | 1/4 (25) | 0/1 (0) | |
| Wound infection | 1/92 (1) | 1/87 (1.1) | 0/4 (0) | 0/1 (0) | |
| Postpericardotomy syndrome | 1/92 (1) | 1/87 (1.1) | 0/4 (0) | 0/1 (0) | |
| Pneumothorax | 4/92 (4) | 4/87 (4.6) | 0/4 (0) | 0/1 (0) | |
| ECMO | 1/92 (1) | 1/87 (1.1) | 0/4 (0) | 0/1 (0) |
Counts and frequency of patients that underwent P values compared categories in which the CAD was absent, CAD was in only the anomalous coronary, and CAD was in the normal-origin coronary. AAOCA, Anomalous aortic origin of a coronary; CAD, coronary artery disease; CABG, coronary artery bypass graft; ECMO, extracorporeal membrane oxygenation.
Complications were too infrequent to calculate a P value.