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Symptomatic Interarterial Course Of Coronary Arteries In Middle Aged Patients
Abdul Nasir1, Abid Ullah1, Maryum Masoud1
1Department of Cardiology, Peshawar Institute of Cardiology, Peshawar, Pakistan.
Insights
Anomalous aortic origin of a coronary artery (AAOCA) is a common congenital heart defect. Surgical treatment is effective for patients with AAOCA and interarterial course, but individualized approaches are needed due to limited data.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Anomalous aortic origin of a coronary artery (AAOCA) is the most common congenital coronary anomaly.
- AAOCA can be associated with life-threatening conditions, including sudden cardiac death.
- The interarterial course is a high-risk anatomical variation of AAOCA.
Abstract:
Anomalous aortic origin of a coronary artery (AAOCA) is the most common congenital abnormality and is sometimes associated with various life-threatening conditions. We present the cases of a 35-year-old male and a 50-year-old female with complaints of chest pain. Patients had anomalous aortic origin of coronary arteries with the interarterial course and were treated surgically. By literature review, we came to know that the approach to treat patients with anomalous aortic origin of coronary arteries should be largely individualized and there is no ample scientific data to support any specific diagnostic modality and treatment option.
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