Surgery for Anomalous Aortic Origin of the Coronary Artery

Anomalous aortic origin of the coronary artery is emerging as an identifiable disease entity associated with symptoms or sudden death. We conclude that coronary unroofing is a safe and effective therapy for symptomatic patients. Surgery for asymptomatic patients has been more controversial, with growing advocacy for patients with “left from right” as opposed to “right from left” origins. Prospective studies will be required to answer these questions.