Premium
Anomalous aortic origin of coronary artery: For a challenging diagnosis, a transthoracic echocardiogram is recommended
Author(s) -
Tessitore Antimo,
Caiffa Thomas,
Bobbo Marco,
D'Agata Mottolese Biancamaria,
Barbi Egidio,
Chicco Daniela
Publication year - 2022
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.16160
Subject(s) - medicine , chest pain , cardiology , transthoracic echocardiogram , sudden cardiac death , sudden death , transesophageal echocardiogram , artery
Abstract Anomalous aortic origin of a coronary artery (AAOCA), especially the interarterial course of the right or left coronary artery, predisposes paediatric patients to myocardial ischaemia. This rare condition is a leading cause of sudden cardiac death. General paediatricians face challenges when diagnosing this anomaly, and they should pay particular attention to the recurrence of exercise‐related syncope without prodromal symptoms, chest pain and dyspnoea. An accurate transthoracic echocardiogram with Doppler colour flow mapping is the best method to use to identify AAOCA. Conclusion Identifying an AAOCA is challenging, and we provide advice on clinical red flags and diagnostic approaches for general paediatricians.