%0 Journal Article %T Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery %A Aurelio Secinaro %A Davide Calvaruso %A Federica Caldaroni %A Giuseppe Ferro %A Ivana Campanella %A Lucia Manuri %A Pascal R. Vouh¨¨ %A Placido Gitto %A Robert Anderson %A Rosanna Zanai %A Salvatore Agati %J World Journal for Pediatric and Congenital Heart Surgery %@ 2150-136X %D 2019 %R 10.1177/2150135119829004 %X Anomalous origin of a coronary artery from the opposite aortic sinus of Valsalva can present in various ways, ranging from a benign and incidental finding to sudden cardiac death. The variant with an intraseptal subpulmonary course (sometimes referred to as intraconal), is widely perceived to carry a low risk of ischemia and has been considered to be a benign variant, not requiring surgical treatment. In one of our recent patients, however, nuclear scintigraphy highlighted a myocardial perfusion deficit in the territory supplied by the allegedly benign anomalous coronary artery, prompting the need for a more aggressive surgical approach %K anomalous aortic origin coronary artery (AAOCA) %K anomalous coronary artery arising from the opposite sinus (ACAOS) %K intramyocardial course %K intraseptal course %K myocardial perfusion %K stress test %K asymptomatic ischemia %K sudden cardiac death %K congenital heart disease %U https://journals.sagepub.com/doi/full/10.1177/2150135119829004