{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T17:49:11Z","timestamp":1774633751589,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:00:00Z","timestamp":1774051200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Clinical Research Training Fellowship"},{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["FS\/CRTF\/22\/24328"],"award-info":[{"award-number":["FS\/CRTF\/22\/24328"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Cleveland Clinic Research Fellowship, Cleveland Clinic London"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Coronary artery abnormalities (CAAs) are frequently encountered in common arterial trunk (CAT), with an estimated incidence of 5%-20%. However, their prognostic implications remain unclear. Surgical challenges potentially arise due to coronary arteries crossing the right ventricular outflow tract (RVOT), close proximity of the coronary and pulmonary orifices, and distortion to the proximal coronary segments and ostia during arch reconstruction or truncal valve replacement. Some studies have demonstrated that CAAs confer worse outcomes after CAT repair, while others have reported no significant prognostic impact. Both the number and subtype of CAAs may influence outcomes, but heterogeneous categorization limits the conclusions that can be drawn from existing studies. A uniform classification of CAAs in CAT is warranted to better ascertain the prognostic impact of CAA burden and morphology. This may enable more focused decision-making in clinical scenarios where a high-risk CAA pattern is suspected. For example, it may help inform the intraoperative trade-off between probing the coronaries to define their precise morphology against the risk of causing damage. We propose a classification consisting of 6 abnormalities: (1) single coronary artery, (2) ostial stenosis, (3) intramural course, (4) juxtacommissural origin, (5) coronary crossing RVOT, and (6) close proximity of coronary and pulmonary orifices.<\/jats:p>","DOI":"10.1093\/icvts\/ivag083","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T10:23:48Z","timestamp":1774088628000},"source":"Crossref","is-referenced-by-count":0,"title":["Coronary Artery Anomalies in Common Arterial Trunk: Proposal of a New Anatomical Classification"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1008-7966","authenticated-orcid":false,"given":"Edouard","family":"Long","sequence":"first","affiliation":[{"name":"Faculty of Life Sciences and Medicine, King\u2019s College London , London SE1 1UL,","place":["United Kingdom"]},{"name":"Institute of Cardiovascular Science, University College London , London WC1E 6DD,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6468-9199","authenticated-orcid":false,"given":"Minji","family":"Ho","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences and Medicine, King\u2019s College London , London SE1 1UL,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1464-3109","authenticated-orcid":false,"given":"Vitaliy","family":"Androshchuk","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences and Medicine, King\u2019s College London , London SE1 1UL,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,21]]},"reference":[{"key":"2026032712492286000_ivag083-B1","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1016\/j.athoracsur.2020.08.082","article-title":"Coronary artery anomalies are associated with increased mortality after truncus arteriosus repair","volume":"112","author":"Bonilla-Ramirez","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2026032712492286000_ivag083-B2","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1053\/j.semtcvs.2015.08.009","article-title":"Outcomes of truncus arteriosus repair in children: 35 years of experience from a single institution","volume":"28","author":"Naimo","year":"2016","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2026032712492286000_ivag083-B3","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1016\/0002-9149(90)90539-D","article-title":"Coronary arteries in truncus arteriosus","volume":"66","author":"De La Cruz","year":"1990","journal-title":"Am J Cardiol"},{"key":"2026032712492286000_ivag083-B4","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.ejcts.2008.12.043","article-title":"Relationship between orifices of pulmonary and coronary arteries in common arterial trunk","volume":"35","author":"Adachi","year":"2009","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026032712492286000_ivag083-B5","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/S0022-5223(19)33990-X","article-title":"Common arterial trunk, uncommon coronary arterial anatomy","volume":"106","author":"Bogers","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026032712492286000_ivag083-B6","doi-asserted-by":"crossref","first-page":"S183","DOI":"10.1016\/S0003-4975(98)01103-5","article-title":"Truncus arteriosus: ten-year experience with homograft repair in neonates and infants","volume":"66","author":"Urban","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"2026032712492286000_ivag083-B7","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/0002-9149(78)90135-2","article-title":"Surgical significance of the coronary arterial anatomy in truncus arteriosus communis","volume":"41","author":"Anderson","year":"1978","journal-title":"Am J Cardiol"},{"key":"2026032712492286000_ivag083-B8","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1016\/S0022-5223(19)33777-8","article-title":"Repair of truncus arteriosus in the neonate","volume":"105","author":"Hanley","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026032712492286000_ivag083-B9","doi-asserted-by":"crossref","first-page":"e263","DOI":"10.1016\/j.hlc.2020.06.005","article-title":"Rare association of an intramural coronary artery and truncus arteriosus","volume":"29","author":"Naimo","year":"2020","journal-title":"Heart Lung Circ"},{"key":"2026032712492286000_ivag083-B10","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1016\/j.jtcvs.2020.10.147","article-title":"Outcomes after common arterial trunk repair: impact of the surgical technique","volume":"162","author":"Derridj","year":"2021","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag083\/67457587\/ivag083.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/3\/ivag083\/67457587\/ivag083.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/3\/ivag083\/67457587\/ivag083.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T16:49:32Z","timestamp":1774630172000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag083\/8533454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,12]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag083","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"ivag083"}}