Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery. Issue 3 (May 2019)

• Record Type: Journal Article
• Authors: Agati, Salvatore; Secinaro, Aurelio; Caldaroni, Federica; Calvaruso, Davide; Manuri, Lucia; Gitto, Placido; Ferro, Giuseppe; Anderson, Robert; Vouhè, Pascal R.; Zanai, Rosanna; Campanella, Ivana
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 10:Issue 3(2019)
• Page Start: 360
• Page End: 363
• Publication Date: 2019-05
• Subjects: anomalous aortic origin coronary artery (AAOCA) -- anomalous coronary artery arising from the opposite sinus (ACAOS) -- intramyocardial course -- intraseptal course -- myocardial perfusion -- stress test -- asymptomatic ischemia -- sudden cardiac death -- congenital heart disease; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135119829004
• Languages: English
• ISSNs: 2150-1351

Abstract

Anomalous origin of a coronary artery from the opposite aortic sinus of Valsalva can present in various ways, ranging from a benign and incidental finding to sudden cardiac death. The variant with an intraseptal subpulmonary course (sometimes referred to as intraconal), is widely perceived to carry a low risk of ischemia and has been considered to be a benign variant, not requiring surgical treatment. In one of our recent patients, however, nuclear scintigraphy highlighted a myocardial perfusion deficit in the territory supplied by the allegedly benign anomalous coronary artery, prompting the need for a more aggressive surgical approach.