Invasive Diagnostic Procedure in Patient With Anomalous Aortic Origin of a Right Coronary Artery
Masafumi Yoshikawa1, Hiroyuki Arashi2, Noriko Kikuchi1
1Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.
Insights
Anomalous aortic origin of the right coronary artery can cause ischemia during intense exercise, even without symptoms on stress tests. Invasive procedures revealed potential for exercise-induced ischemia in this adolescent case.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Sports Cardiology
Background:
- Anomalous aortic origin of the coronary artery is a rare congenital heart defect.
- The interarterial course places the anomalous coronary artery between the aorta and pulmonary artery, increasing risk.
- Exercise-induced ischemia can occur in individuals with this anomaly.
Abstract:
We present the case of a 17-year-old boy with anomalous aortic origin of a right coronary artery. Despite the absence of ischemia on noninvasive stress tests, invasive diagnostic procedures suggested that ischemia could be induced by a heavy workout in this patient with anomalous aortic origin of a right coronary artery with an interarterial course.
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