Anomalous origin of the coronary arteries: an account of six cases
1Department of Cardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal.
Insights
Anomalous origin of coronary arteries, a rare congenital anomaly, can unexpectedly cause serious cardiac issues like sudden death. This review covers six cases and current management strategies for this condition.
Area of Science:
- Cardiology
- Congenital Heart Disease
Background:
- Anomalous origin of coronary arteries (AOCA) is a rare congenital anomaly.
- Often considered an incidental finding with no clinical significance.
Observation:
- This paper details six cases of AOCA diagnosed via coronary angiography.
- Literature review on current perspectives and therapeutic approaches for AOCA.
Findings:
- AOCA, despite its rarity, can manifest with significant clinical symptoms.
- Symptoms include angina pectoris, heart failure, arrhythmias, and sudden cardiac death.
Implications:
- Early diagnosis and appropriate management of AOCA are crucial.
- Understanding AOCA's potential severity is vital for patient outcomes.
Abstract:
Anomalous origin of coronary arteries is a rare type of congenital anomalies with a low incidence. It is considered an incidental finding without clinical significance, however, these abnormalities may be responsible for angina pectoris, heart failure, arrhythmias and increased risk of sudden death. In this paper, six cases that were diagnosed with anomalous origin of coronary arteries confirmed by coronary angiography has been described and also briefly reviewed the literature concerning current views and therapy of this abnormality.
Related Concept Videos
Coronary Circulation
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
The Arch of Aorta
Encircling the heart, the coronary arteries form a ring-like structure before...
Thoracic Aorta
Abdominal Aorta
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Physiology of the Heart: The Cardiac Cycle
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
Coronary Artery Disease II: Pathophysiology


