%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