Congenital Heart Disease Clinical Trial
— EUROAAOCAOfficial title:
EUROAAOCA Registry
Anomalous aortic origin of a coronary artery (AAOCA) is a group of rare congenital heart defects with various clinical presentations. The lifetime-risk of an individual living with AAOCA is unknown, and data from multicentre registries are urgently needed to adapt current recommendations and guide optimal patient management. The European Registry for AAOCA (EURO-AAOCA) aims to assess differences with regard to AAOCA management between centres.
Status | Recruiting |
Enrollment | 500 |
Est. completion date | January 1, 2029 |
Est. primary completion date | January 1, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - All patients with a diagnosis of AAOCA (either referred to surgery or to medical follow-up ) Exclusion Criteria: - isolated high-coronary take-off (= 5mm above sino-tubular junction), anomalous origin of a circumflex from the right coronary artery, anomalous course with a normal origin, and association to major congenital heart disease (i.e. Tetralogy of Fallot, transposition of the great arteries, anomalous origin of a coronary from the pulmonary artery). |
Country | Name | City | State |
---|---|---|---|
Italy | Massimo Padalino | Padova | PD |
Switzerland | Christopher Grani | Bern |
Lead Sponsor | Collaborator |
---|---|
University of Padova | Azienda Ospedaliera Universitaria Integrata Verona, Azienda Ospedaliero-Universitaria di Parma, Cliniques universitaires Saint-Luc, Bruxelles, Belgium, Guy's and St Thomas' NHS Foundation Trust, Hospital Universitario La Paz, Insel Gruppe AG, University Hospital Bern, IRCCS Policlinico S. Donato, Mitera Children's Hospital, Athens Heart Surgery Institute, Greece, Ospedale Civile Ca' Foncello, University Hospital, Ghent, University Medical Center Groningen |
Italy, Switzerland,
Bigler MR, Kadner A, Raber L, Ashraf A, Windecker S, Siepe M, Padalino MA, Grani C. Therapeutic Management of Anomalous Coronary Arteries Originating From the Opposite Sinus of Valsalva: Current Evidence, Proposed Approach, and the Unknowing. J Am Heart A — View Citation
Grani C, Padalino MA. Editorial: Coronary Artery Anomalies: A 2020 Review. Front Cardiovasc Med. 2022 Feb 10;9:776951. doi: 10.3389/fcvm.2022.776951. eCollection 2022. No abstract available. — View Citation
Padalino MA, Franchetti N, Hazekamp M, Sojak V, Carrel T, Frigiola A, Lo Rito M, Horer J, Roussin R, Cleuziou J, Meyns B, Fragata J, Telles H, Polimenakos AC, Francois K, Veshti A, Salminen J, Rocafort AG, Nosal M, Vedovelli L, Guariento A, Vida VL, Sarri — View Citation
Padalino MA, Jegatheeswaran A, Blitzer D, Ricciardi G, Guariento A. Surgery for Anomalous Aortic Origin of Coronary Arteries: Technical Safeguards and Pitfalls. Front Cardiovasc Med. 2021 May 12;8:626108. doi: 10.3389/fcvm.2021.626108. eCollection 2021. — View Citation
Ponzoni M, Frigo AC, Padalino MA. Surgery for Anomalous Aortic Origin of a Coronary Artery (AAOCA) in Children and Adolescents: A Meta-Analysis. World J Pediatr Congenit Heart Surg. 2022 Jul;13(4):485-494. doi: 10.1177/21501351221095424. — View Citation
Thiene G, Frescura C, Padalino M, Basso C, Rizzo S. Coronary Arteries: Normal Anatomy With Historical Notes and Embryology of Main Stems. Front Cardiovasc Med. 2021 May 31;8:649855. doi: 10.3389/fcvm.2021.649855. eCollection 2021. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of Symptoms at diagnosis and after surgery | The study will assess the presence of symptoms (angina, chest pain, distress, sudden cardiac death-SCD, syncope, aborted SCD) at diagnosis, and after eventual surgical repair, to assess incidence of symptoms in patients with this anomaly and effectiveness of surgery in removing symptoms. | 5 years | |
Primary | Incidence of postoperative adverse events | The study will assess the incidence of operative death and adverse events after surgery (in those who undergo surgery). | 5 years | |
Primary | Incidence of adverse events at follow up | The study will assess the incidence of death and adverse events at clinical follow up either in patients who required a surgical repair or in those who did not undergo surgery because of lack of indications. | 5 years | |
Secondary | Incidence of any arrhythmias at Follow up | The study will assess the incidence of any (mostly ventricular) arrhythmias in all patients, either surgical or non surgical | 5 years | |
Secondary | Rate of return to unrestricted competitive sport | The study will assess the rate of return to unrestricted sport and competitive sport activity in all patients, either surgical or non surgical | 5 years |
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