88
Specific Conditions
Figure 7. Anomalous Aortic Origin of the Coronary Artery
* Surgical approaches include coronary unroofing with or without osteoplasty, coronary
reimplantation, and pulmonary translocation. Coronary artery bypass graft is reserved for patients
with coexisting coronary artery disease.
Modified with permission from Stout et al. Copyright © 2018 American Heart Association, Inc.
and American College of Cardiology Foundation.
Left coronary from the right
sinus
NO
YES
Anomalous aortic origin of
the coronary artery
2a
Surgical intervention*
1
Surgical intervention*
Ischemic symptoms
or ischemia during
diagnostic testing?
