医学
冠状动脉
临床实习
德尔菲法
多学科方法
心理干预
重症监护医学
心脏病学
内科学
放射科
动脉
家庭医学
社会科学
社会学
统计
数学
精神科
作者
Mario Gaudino,Antonino Di Franco,Eloisa Arbustini,Emile A. Bacha,Eric R. Bates,Duke E. Cameron,Davide Cao,Tirone E. David,Ruggero De Paulis,Ismaı̈l El-Hamamsy,Kanwal M. Farooqi,Leonard N. Girardi,Christoph Gräni,Jonathan Kochav,Silvana Molossi,John D. Puskas,Sunil V. Rao,Sigrid Sandner,James Tatoulis,Quynh A. Truong,Jonathan W. Weinsaft,Daniel Zimpfer,Carlos M. Mery
标识
DOI:10.1016/j.athoracsur.2023.09.025
摘要
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.
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