The complementary nature of multimodal imaging in the management of an anomalous aortic origin of the right coronary artery from the left coronary cusp

J Nucl Cardiol. 2021 Oct;28(5):2399-2402. doi: 10.1007/s12350-020-02209-x. Epub 2020 Jun 12.

Abstract

Anomalous aortic origins of coronary arteries (AAOCA) are congenital abnormalities involving the origin and course of coronary arteries and present with diverse clinical manifestations in patients ranging from asymptomatic incidental findings to sudden cardiac death. The current case describes a patient with an anomalous right coronary artery with an anterior interarterial course originating from a separate ostium at the left coronary cusp. By utilizing complementary multimodality imaging techniques including fractional flow reserve (FFRCT), we obtained a comprehensive functional and anatomic assessment resulting in appropriate surgical therapy and a good clinical outcome.

Keywords: Anomalous aortic origin of the Coronary artery; Computed tomography (CT) derived fractional flow reserve (FFRCT); Coronary computed tomography angiography; Single-photon emission tomography.

Publication types

  • Case Reports

MeSH terms

  • Computed Tomography Angiography
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnostic imaging*
  • Female
  • Fractional Flow Reserve, Myocardial
  • Humans
  • Middle Aged
  • Tomography, Emission-Computed