Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery

Salvatore Agati, Aurelio Secinaro, Federica Caldaroni, Davide Calvaruso, Lucia Manuri, Placido Gitto, Giuseppe Ferro, Robert Anderson, Pascal R Vouhè, Rosanna Zanai, Ivana Campanella

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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.

Original languageEnglish
Pages (from-to)360-363
Number of pages4
JournalWorld journal for pediatric & congenital heart surgery
Volume10
Issue number3
DOIs
Publication statusPublished - May 2019

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Agati, S., Secinaro, A., Caldaroni, F., Calvaruso, D., Manuri, L., Gitto, P., Ferro, G., Anderson, R., Vouhè, P. R., Zanai, R., & Campanella, I. (2019). Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery. World journal for pediatric & congenital heart surgery, 10(3), 360-363. https://doi.org/10.1177/2150135119829004