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AAOCA is relatively common and may have significant public health implications. While our knowledge of its pathophysiology and natural history remains incomplete, an emphasis has been placed on surgical correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In 2005 we published a review examining the rates of sudden death with AAOCA, as well as complications of surgical management. Evidence now points even more strongly to lower rates of sudden death, while surgical outcomes data now better documents associated risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Armed with this updated information, we agree with the need for a national registry to better track patients with AAOCA. We submit that the risks of surgical management outweigh any benefits in the asymptomatic patient with anomalous right coronary artery, and expectant management should also be strongly considered even in asymptomatic patients with anomalous left coronary artery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/1471-2261-12-83","type":"journal-article","created":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T06:42:15Z","timestamp":1349073735000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":100,"title":["Anomalous aortic origin of coronary arteries from the opposite sinus: A critical appraisal of risk"],"prefix":"10.1186","volume":"12","author":[{"given":"Josiah M","family":"Pe\u00f1alver","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph S","family":"Mosca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Weitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin KL","family":"Phoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2012,10,1]]},"reference":[{"key":"492_CR1","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1016\/j.ijcard.2004.10.010","volume":"102","author":"S Mirchandani","year":"2005","unstructured":"Mirchandani S, Phoon CK: Management of anomalous coronary arteries from the contralateral sinus. 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