Anomalous Aortic Origin of Coronary Artery: A Cases Series

Abstract

Congenital coronary artery anomalies (CCAA) are not that common, they are usually found in 0.3 to 5.6% of people undergoing coronary angiography [1], these numbers are still to be widely confirmed since they can be biased by the fact that angiography or autopsy are usually preformed in patients with suspected cardiac disease. However, they are particularly important as they occupy the second place of most common cause of sudden death in young athlete according to a series reported by Basso et al., [2]. Definition, clinical presentation, physiopathology of symptoms, diagnostic workup and prognosis, can be challenging and varies according to different subgroups established by classifications, this last one can falls into two paths, anatomical based on the description of origin, course, termination and functional based on the degree of ischemia that can be caused by it. The management and treatment of these anomalies is still not firmly entrenched, it depends mostly on the patient, circumstances of diagnosis and proof of hemodynamic significance. In this case series of 3 patients, we will focus mainly of anomalous aortic origin of a coronary artery, encountered in our cathlab.