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Stanford Health Care

Treatment for Anomalous Coronary Artery

Treatment for Anomalous Coronary Artery

Specific treatment for anomalous coronary artery will be determined by your doctor based on:

  • Age, overall health, and medical history
  • Extent of the disease
  • Tolerance for specific medications, procedures, or therapies
  • Expectations for the course of the defect
  • Personal opinion or preference

Recommendations for treatment will depend on which type of ACA is present and its effect on the patient. Treatment for ACA may include:

  • Medical treatment. Various methods of medical treatment for ACA may include:
    • Medications to strengthen the heart, affect the blood pressure, and/or remove extra fluid from the body (water pills). Other types of medications may also be used.
    • Oxygen therapy
    • Activity limitations
  • Surgical treatment. Various surgical techniques may be utilized for ACA repair, depending on the type of anomaly.

Long-term outcomes

Individuals who have been diagnosed with ACA should follow their doctor's recommendations closely. Although many remain without symptoms, a thorough evaluation again in adolescence or early adulthood is recommended. In some cases, periodic stress tests may be recommended to assess for changes in coronary artery status.

Following surgical repair of ACA, there may be some increased risk of developing early coronary artery disease. Outcomes following surgical repair may be improved by following guidelines for healthy diet and exercise.