Anomalous aortic origin of coronary arteries: Early results on clinical management from an international multicenter study

•Anomalous aortic origin of coronary arteries (AAOCA) is a rare abnormality and its optimal management is still undefined.•In this large clinical multicenter study on AAOCA, we demonstrate that surgical repair is safe and with low morbidity.•Compared to medical treatment, surgery for AAOCA provides an important benefit in terms of returning to normal lifestyle.•Since the uncertain long term-risk, a regular long term surveillance is recommended in all patients with AAOCA.