Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real

Three cases of teenagers with anomalous aortic origin of the coronary arteries (AAOCA) are presented with typical exercise induced symptoms (chest pain, syncope or dizziness). Using multimodal imaging, diagnoses was confirmed showing interarterial and/or intramural course of the coronary artery expl...

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Main Authors: Julia Borns, Christoph Gräni, Alexander Kadner, Martin Gloeckler, Jean-Pierre Pfammatter
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fcvm.2020.559794/full
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spelling doaj-bc4ee54b148546b5b0953a314ae12e042020-11-25T03:24:06ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2020-09-01710.3389/fcvm.2020.559794559794Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but RealJulia Borns0Christoph Gräni1Alexander Kadner2Martin Gloeckler3Jean-Pierre Pfammatter4Department of Cardiology, Center for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiovascular Surgery, Centre for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Center for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Center for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandThree cases of teenagers with anomalous aortic origin of the coronary arteries (AAOCA) are presented with typical exercise induced symptoms (chest pain, syncope or dizziness). Using multimodal imaging, diagnoses was confirmed showing interarterial and/or intramural course of the coronary artery explaining the ischemia induced symptoms. Successful surgical correction with unroofing of the AAOCA was performed in all three cases with a favorable outcome. Even though AAOCA are rare, some variants may be relevant and potentially life threatening, therefore treating physicians should be aware of correctly diagnosing and treating these individuals.https://www.frontiersin.org/article/10.3389/fcvm.2020.559794/fullcoronary artery anomalyanomalous aortic origin of the coronary arteriesAAOCAchest paininterarterialangina pectoris
collection DOAJ
language English
format Article
sources DOAJ
author Julia Borns
Christoph Gräni
Alexander Kadner
Martin Gloeckler
Jean-Pierre Pfammatter
spellingShingle Julia Borns
Christoph Gräni
Alexander Kadner
Martin Gloeckler
Jean-Pierre Pfammatter
Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real
Frontiers in Cardiovascular Medicine
coronary artery anomaly
anomalous aortic origin of the coronary arteries
AAOCA
chest pain
interarterial
angina pectoris
author_facet Julia Borns
Christoph Gräni
Alexander Kadner
Martin Gloeckler
Jean-Pierre Pfammatter
author_sort Julia Borns
title Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real
title_short Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real
title_full Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real
title_fullStr Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real
title_full_unstemmed Symptomatic Coronary Anomalies and Ischemia in Teenagers – Rare but Real
title_sort symptomatic coronary anomalies and ischemia in teenagers – rare but real
publisher Frontiers Media S.A.
series Frontiers in Cardiovascular Medicine
issn 2297-055X
publishDate 2020-09-01
description Three cases of teenagers with anomalous aortic origin of the coronary arteries (AAOCA) are presented with typical exercise induced symptoms (chest pain, syncope or dizziness). Using multimodal imaging, diagnoses was confirmed showing interarterial and/or intramural course of the coronary artery explaining the ischemia induced symptoms. Successful surgical correction with unroofing of the AAOCA was performed in all three cases with a favorable outcome. Even though AAOCA are rare, some variants may be relevant and potentially life threatening, therefore treating physicians should be aware of correctly diagnosing and treating these individuals.
topic coronary artery anomaly
anomalous aortic origin of the coronary arteries
AAOCA
chest pain
interarterial
angina pectoris
url https://www.frontiersin.org/article/10.3389/fcvm.2020.559794/full
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