Mayo Clinic's approach to anomalous coronary artery unroofing July 13, 2020 Overview Show transcript Overview Elizabeth H. Stephens, M.D., Ph.D., pediatric cardiovascular surgeon, under the direction of Joseph A. Dearani, M.D., director of Pediatric Congenital Heart Surgery at Mayo Clinic in Rochester, Minnesota, discusses anomalous coronary artery unroofing, a surgical treatment for anomalous aortic origin of a coronary artery. In AAOCA, one of the coronary arteries arises from the aorta in an abnormal position. This condition may be found incidentally when a patient undergoes a CT scan for another reason or it may be encountered during a work-up for chest pain or other symptoms. While there is a range of presentations and consequences of the anomaly, in some cases it can cause ischemia and even sudden death. Explore more Mayo Clinic Cardiovascular Medicine Resources for medical professionals. Receive Mayo Clinic news in your inbox. Sign up Related ContentArticleCongenital cardiac surgery: What's next?ArticleCongenital heart disease: The first 50 years … the next 50 yearsArticleCone reconstruction for Ebstein anomaly VID-20491956 Medical Professionals Mayo Clinic's approach to anomalous coronary artery unroofing