To screen or not to screen - and other pending questions within the enigma of coronary artery anomalies

Article Cardiac & Cardiovascular Systems

Critical update and discussion of the prevalence, nature, mechanisms of action, and treatment options in potentially serious coronary anomalies * , **

Paolo Angelini et al.

Summary: Coronary artery anomalies rarely cause potentially serious myocardial ischemic events. The most important type is anomalous coronary artery origin from an abnormal sinus or a site in the ascending aorta. Some cases of intramural-course coronary anomalies can lead to significant symptoms or sudden cardiac death in athletes during exertion. The diagnostic process involves screening high-risk populations, evaluating symptoms, and assessing the severity of coronary obstruction through intravascular ultrasonography. Treatment alternatives are also discussed and updated.

TRENDS IN CARDIOVASCULAR MEDICINE (2023)

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Review Cardiac & Cardiovascular Systems

Hemodynamic Relevance of Anomalous Coronary Arteries Originating From the Opposite Sinus of Valsalva-In Search of the Evidence

Marius Reto Bigler et al.

Summary: Coronary artery anomalies (CAA) encompass a range of congenital disorders affecting the arterial coronary circulation, with anomalous origin of the coronary ostium and/or vessel course. Anomalous coronary arteries originating from the opposite sinus of Valsalva (ACAOS) are of particular interest due to potential higher risk for myocardial ischemia and sudden cardiac death, but the exact pathophysiology is not well-understood, leading to clinical management uncertainties.

FRONTIERS IN CARDIOVASCULAR MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems