Silvana Molossi, Hitesh Agrawal
Congenital Heart Disease, Vol.12, No.5, pp. 607-609, 2017, DOI:10.1111/chd.12505
Abstract The clinical evaluation of patients with an anomalous aortic origin of a coronary artery (AAOCA), a
congenital abnormality of the origin or course of a coronary artery that arises from the aorta, is
challenging given its first presentation being sudden cardiac arrest in about half of the patients.
Symptoms of chest pain, shortness of breath and syncope during exertion should be of concern in
evaluating young athletes and nonathletes. The lack of abnormal signs on the physical exam and
electrocardiogram further adds to the difficulty in establishing the diagnosis. Additional imaging
with echocardiography, computed tomography angiography and/or cardiac magnetic resonance… More >
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