Anomalous Aortic Origin of a Coronary Artery

Molossi, Silvana; Martínez-Bravo, Luis E.; Mery, Carlos M.

doi:10.14797/mdcj-15-2-111

Cited by 59 publications

(38 citation statements)

References 41 publications

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“…An anomalous aortic origin of a coronary artery (AAOCA) refers to a congenital abnormality of the origin and/or course of a coronary artery that arises from the aorta, which is a rare congenital disease with an incidence of approximately 0.6%-1.3%. 1,2 However, the most common type is anomalous origin of the right coronary artery (AORCA), which has an incidence that is approximately three times higher than that of the anomalous origin of the left coronary artery (AOLCA) (approximately F I G U R E 3 Intraoperative findings: the ostium of the LCA (white star) is located in the NSV near the left/noncoronary commissure (A). Because of the narrow ostium, it needs to be cut with a sharp scalpel to be able to pass through the thinnest coronary bougie (B).…”

Section: Discussionmentioning

confidence: 99%

Anomalous aortic origin of the left coronary artery: A rare case of an origin from the noncoronary sinus

Xie

et al. 2022

Journal of Cardiac Surgery

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Background Anomalous aortic origin of the coronary artery (AAOCA) refers to a congenital abnormality of the origin and/or course of a coronary artery that arises from the aorta. It can be classified according to the sinus from which the coronary artery arises. The most common type is an anomalous origin of the right coronary artery. Case Presentation Herein, we report a 7‐year‐old male that was diagnosed with AAOCA. Although the patient had not complained of obvious symptoms before the onset, echocardiography showed that the left coronary artery originated from the noncoronary sinus at an anatomical location. Conclusion AAOCA is a rare congenital disease that often causes a sudden death in young athletes. Originating from the noncoronary sinus at the level of the sinotubular junction in the anomalous origin of the left coronary artery is even more rare which is presented in this case. Surgical intervention should be actively performed if the patient has symptoms or if the anatomy is complex.

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Section: Discussionmentioning

confidence: 99%

Anomalous aortic origin of the left coronary artery: A rare case of an origin from the noncoronary sinus

Xie

et al. 2022

Journal of Cardiac Surgery

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“…This unusual case documents a child with an ALCA-R who experienced recurrent sudden cardiac arrest (SCA), one during infancy, and again 8 years status post-coronary unroofing. Although anomalous aortic origin of a coronary artery (AAOCA) is the second leading cause of SCA in older children and young adults ( 2 ), the risk of SCA owing to AAOCA is exceedingly low in young children, with only 1 reported case of sudden cardiac death in a patient <10 years of age ( 3 ). Many SCAs associated with AAOCA are during or following intense physical exercise ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Déjà Vu

et al. 2021

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Sudden cardiac arrest from anomalous coronary artery from the opposite sinus of Valsalva is rarely observed in children under 10 years of age. We report a 7-week-old infant with a brief resolved unexplained event from left anomalous aortic origin of a coronary artery who underwent unroofing and again developed syncope at 8 years of age. Ischemia was detected by stress echocardiography both times. ( Level of Difficulty: Advanced. )

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“…The clinical manifestations of patients with AAOCA also vary, ranging from complete lack of symptoms to obvious myocardial ischemia such as chest pain and SAD, though the exact mechanisms and the crucial risk factors leading to SAD have not been well understood [ 17 ]. An increased cardiac output due to exercise or stress, leading to compression of the abnormal coronary artery between the aorta and pulmonary artery has been regarded previously as the main reason for myocardial ischemia and SAD [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Tetralogy of fallot in addition to anomalous aortic origin of a coronary artery in a 1-year-old boy: a case report

Deng

et al. 2021

BMC Surg

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Background Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital heart disease, characterized by the coronary artery inappropriately originates from the aorta. It is usually classified according to the sinus where the coronary artery arises from, while anomalous origin of the right coronary being the most common type. Case presentation In this case report, we described a rare case of Tetralogy of Fallot (TOF) in a 1-year-old boy, who also had the anomalous right coronary artery that originated from the left coronary sinus without an intramural segment. Besides TOF repair, lateral pulmonary translocation was undertaken in order to avoid risks of myocardial ischemia. Conclusion We successfully completed a one-stage operation consisting of TOF repair and pulmonary artery translocation in a 1-year-old boy. We advocated early operation of pulmonic translocation for AAOCA patients without an intramural segment instead of unroofing procedure.

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Anomalous Aortic Origin of a Coronary Artery

Cited by 59 publications

References 41 publications

Anomalous aortic origin of the left coronary artery: A rare case of an origin from the noncoronary sinus

Anomalous aortic origin of the left coronary artery: A rare case of an origin from the noncoronary sinus

Déjà Vu

Tetralogy of fallot in addition to anomalous aortic origin of a coronary artery in a 1-year-old boy: a case report

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