title: Dynamic Evaluation of Coronary Anomalies Originating from the Opposite Sinus of Valsalva (ACAOS).
abstract: Coronary anomalies originating from the opposite sinus of Valsalva (ACAOS) are a rare anomaly associated with sudden cardiac death. Dynamic, invasive evaluation using coronary angiography, intravascular ultrasound, and fractional flow reserve can more clearly identify important pathophysiologic variants and guide treatment. This dynamic evaluation can assist the clinician in the appropriate surgical and percutaneous treatment options and aid in patient counseling. Long-term outcomes data regarding treatment and prognosis is still lacking.
authors.affiliation: Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
authors.forename: Marc A
authors.initials: MA
authors.lastname: Sintek
authors.affiliation: Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
authors.forename: Jasvindar
authors.initials: J
authors.lastname: Singh
authors.affiliation: Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA. jbillade@dom.wustl.edu.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Billadello
keywords: Anomalous coronary artery; Coronary angiography; Fractional flow reserve; Intravascular ultrasound