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Management of Adults with Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review (JACC November 2023-2)
As a result of increasing adoption of imaging screening, the number of adult patients with a diagnosis of anomalous aortic origin of the coronary arteries (AAOCA) has grown in recent years. Existing guidelines provide a framework for management and treatment, but patients with AAOCA present with a wide range of anomalies and symptoms that make general recommendations of limited applicability. In particular, a large spectrum of interventions can be used for treatment, and there is no consensus on the optimal approach to be used. In this paper, a multidisciplinary group of clinical and interventional cardiologists and cardiac surgeons performed a systematic review and critical evaluation of the available evidence on the interventional treatment of AAOCA in adult patients. Using a structured Delphi process, the group agreed on expert recommendations that are intended to complement existing clinical practice guidelines.

Valentin Fuster, MD, PhD, MACC

CME Editor
Ragavendra R. Baliga, MD

Nidhi Madan, MD, FACC 

Important Dates
Date of Release: November 13, 2023

Term of Approval/Date of CME/MOC Expiration: November 12, 2024
Availability: On-Demand
Expires on Nov 12, 2024
Cost: FREE
Credit Offered:
1 CME Credit
1 ABIM-MOC Point
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