Anomalous aortic origin of the coronary arteries: a presentation of three cases and review of the literature.
| Title: | Anomalous aortic origin of the coronary arteries: a presentation of three cases and review of the literature. |
|---|---|
| Authors: | Essop AR; Charlotte Maxeke Academic Hospital, Johannesburg, South Africa. Email: anisaessop@gmail.com.; Moosa MZ; Cardiology, Milpark Hospital, Johannesburg, South Africa.; Essop AR; Cardiology, Milpark Hospital, Johannesburg, South Africa.; Sussman MJ; Cardiothoracic Surgery, Milpark Hospital, Johannesburg South Africa.; Hack J; Radiology, Sunninghill Hospital, Johannesburg, South Africa.; Essop MR; Cardiology, Milpark Hospital, Johannesburg, South Africa. |
| Source: | Cardiovascular journal of Africa [Cardiovasc J Afr] 2025 Oct 17; Vol. 36 (4), pp. 514-519. Date of Electronic Publication: 2025 Oct 17. |
| Publication Type: | Journal Article; Case Reports; Review |
| Language: | English |
| Journal Info: | Publisher: Clinics Cardive Pub Country of Publication: South Africa NLM ID: 101313864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1680-0745 (Electronic) Linking ISSN: 10159657 NLM ISO Abbreviation: Cardiovasc J Afr Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Durbanville : Clinics Cardive Pub. |
| MeSH Terms: | Coronary Vessel Anomalies*/surgery ; Coronary Vessel Anomalies*/diagnostic imaging ; Coronary Sinus*/abnormalities ; Coronary Sinus*/diagnostic imaging ; Coronary Sinus*/surgery; Coronary Angiography/methods ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Humans ; Computed Tomography Angiography ; Male ; Female ; Treatment Outcome ; Middle Aged ; Adult ; Predictive Value of Tests |
| Abstract: | In this retrospective review of three patients presenting with anomalous aortic origin of the coronary arteries (AAOCA), we sought to highlight the varying presentations, discuss the optimal diagnostic imaging strategy and review current guidelines on the management of this condition. Over a one-year period three patients with AAOCA were identified. Pertinent data were extracted from case records and imaging, management and outcomes were reviewed in detail. All three patients had an anomalous right coronary artery originating from the left coronary sinus (AORCA) as well as a malignant course between the aorta and pulmonary artery. Although conventional angiography suggested the diagnosis, CT coronary angiography (CTA) was more useful in describing the anatomy and course of the anomalous artery and determining the necessity for and guidance to the type of surgical intervention required. All three patients underwent successful surgery. A brief literature review of the implications and management of this condition is provided. |
| Contributed Indexing: | Keywords: anomalous coronary artery; computed tomography; management |
| Entry Date(s): | Date Created: 20260220 Date Completed: 20260220 Latest Revision: 20260220 |
| Update Code: | 20260221 |
| DOI: | 10.5830/CVJA-2025-072 |
| PMID: | 41718645 |
| Database: | MEDLINE |
Journal Article; Case Reports; Review