Surgical intervention is indicated for coronary artery abnormalities in symptomatic patients with AAOCA (particularly with<unk>  of the LCA from the right sinus), such as those with serious ventricular tachyarrhythmias or documented myocardial ischemia. There are no controlled studies which have evaluated the outcome of intervention in asymptomatic individuals. The indications for intervention in asymptomatic patients with AAOCA with an intramural course are debated, especially with AAOCA RCA from the left sinus of Valsalva. Generally refer asymptomatic patients with left coronary artery arising from the right coronary sinus for surgical repair. Asymptomatic patients with the right coronary artery arising from the left sinus are managed on a case-by-case basis.
Anomalous aortic origin of a coronary artery
Cystic tumour of the atrioventricular nodal region
Anomalous left coronary artery from the pulmonary artery
Progressive cardiac conduction defect
Dorsal intercalated segment instability
Spontaneous coronary artery dissection
Stenosis of pulmonary artery
Congenital fiber type disproportion