A case of anomalous aortic origin of coronary artery associated with a coved-type electrocardiogram

Tsukasa Kamakura1, Laura Cetran1, Frédéric Sacher1

  • 1Department of Cardiac Pacing and Electrophysiology, IHU Liryc, Electrophysiology and Heart Modeling Institute, University of Bordeaux, Bordeaux University Hospital (CHU), Pessac-Bordeaux, France.

Insights

Brugada syndrome (BrS) can mimic ECG changes from coronary artery anomalies. Surgical mapping clarified the cause in a patient with anomalous aortic origin of the coronary artery (AAOCA), guiding treatment.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Cardiac Surgery

Background:

  • Brugada syndrome (BrS) is a genetic disorder associated with sudden cardiac death.
  • A Brugada-pattern electrocardiogram (ECG) can also be caused by other conditions, known as Brugada phenocopy.
  • Anomalous aortic origin of the coronary artery (AAOCA) is a rare congenital heart defect.

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