Anomalous aortic origin of a right coronary artery: two brothers with an identical pattern
Giuliano Giusti1, Salvatore Caputo2, Marco Pozzi1
1Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Ospedali Riuniti, Ancona, Italy.
Cardiology in the Young
|January 12, 2021
Insights
An anomalous coronary artery was diagnosed in two brothers, a rare familial occurrence. Clinical, echocardiographic, and radiological findings were analyzed and compared between the siblings.
Area of Science:
- Cardiology
- Genetics
- Medical Diagnostics
Background:
- Anomalous coronary artery origins (ACOA) are congenital heart defects.
- Familial occurrence of ACOA is exceptionally rare, posing diagnostic challenges.
- Early detection is crucial for managing potential cardiac complications.
Purpose of the Study:
- To report a rare case of familial anomalous coronary artery.
- To compare clinical, echocardiographic, and radiological findings in affected siblings.
- To highlight the importance of family screening in diagnosing rare cardiac anomalies.
Main Methods:
- Case report and comparative analysis.
- Diagnostic workup including clinical examination, echocardiography, and radiological imaging.
- Review of medical literature on familial ACOA.
Main Results:
- Anomalous coronary artery diagnosed in two brothers from the same immediate family.
- Detailed comparison of clinical presentation, echocardiographic parameters, and radiological features.
- Confirmation of the rarity of this familial cardiac anomaly.
Conclusions:
- Familial clustering of anomalous coronary artery is a rare but significant finding.
- Systematic screening of relatives is essential after diagnosing ACOA in one individual.
- Integrated diagnostic approaches are vital for characterizing ACOA in familial contexts.
Abstract:
We report on the diagnosis of anomalous coronary artery in two brothers. Following the diagnosis of anomalous coronary artery in one sibling, we screened immediate family relatives and found the same anomaly in the older brother. Familiarity in this pathology is extremely rare. We analysed and compared clinical, echocardiographic and radiological findings in the two brothers.
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