Spectrum of the anomalous origin of the coronary arteries

Aldo Cabello-Ganem, MD; Adrian Espejel-Guzman, MD; Alexis D. Aparicio-Ortiz, MD; Enrique C. Guerra, MD; Santiago Luna-Alcala, MD; Enrique Solorzano-Pinot, MD; Javier Serrano-Roman, MD; Roberto Cano-Zarate, MD; Sergio Criales-Vera, MD; Nilda Espinola-Zavaleta, MD, PhD

Radiology Case Reports (Sep 2023)

Spectrum of the anomalous origin of the coronary arteries

Aldo Cabello-Ganem, MD,
Adrian Espejel-Guzman, MD,
Alexis D. Aparicio-Ortiz, MD,
Enrique C. Guerra, MD,
Santiago Luna-Alcala, MD,
Enrique Solorzano-Pinot, MD,
Javier Serrano-Roman, MD,
Roberto Cano-Zarate, MD,
Sergio Criales-Vera, MD,
Nilda Espinola-Zavaleta, MD, PhD

Affiliations

Aldo Cabello-Ganem, MD: Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, Mexico City, 14030, Mexico
Adrian Espejel-Guzman, MD: Mexican Social Security Institute, IMSS, Mexico City, Mexico
Alexis D. Aparicio-Ortiz, MD: Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, Mexico City, 14030, Mexico
Enrique C. Guerra, MD: Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, Mexico City, 14030, Mexico
Santiago Luna-Alcala, MD: Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, Mexico City, 14030, Mexico
Enrique Solorzano-Pinot, MD: Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, Mexico City, 14030, Mexico
Javier Serrano-Roman, MD: Department of Internal Medicine, ABC Medical Center, IAP, Mexico City, Mexico
Roberto Cano-Zarate, MD: Department of Computer Tomography, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico; Department of Magnetic Resonance, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico
Sergio Criales-Vera, MD: Department of Computer Tomography, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico; Department of Magnetic Resonance, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico
Nilda Espinola-Zavaleta, MD, PhD: Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, Mexico City, 14030, Mexico; Department of Echocardiography, ABC Medical Center, IAP, Mexico City, Mexico; Corresponding author.

Journal volume & issue: Vol. 18, no. 9
pp. 2929 – 2934

Abstract

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The anomalous origin of the coronary arteries (AOCA) has several patterns. Most are functional and asymptomatic. However, some are associated with persistent chest pain and sudden cardiac death. Multiple imaging techniques are available for the assessment of AOCA. We present a report of 4 cases with AOCA, including the anomalous aortic origin of a coronary artery (AAOCA) of the right coronary artery, AAOCA of the circumflex artery, AAOCA of the left anterior descending artery, and AAOCA of the circumflex artery with retroaortic trajectory, in which the clinical manifestations throughout the cases are discussed, highlighting the similarity among patients despite having different patterns. Multiple imaging techniques are indispensable for assessing AOCA, where transthoracic echocardiogram is the first-line study, and cardiac computed tomography provides detailed cardiac and coronary anatomy.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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