Madanat Luai, Jabri Ahmad, Gallagher Michael, Cami Elvis, Bloomingdale Richard
Department of Cardiovascular Medicine, William Beaumont University Hospital Corewell Health East, MI.
Oakland University William Beaumont School of Medicine Rochester, MI.
US Cardiol. 2025 Apr 1;19:e09. doi: 10.15420/usc.2024.57. eCollection 2025.
With the increasing use of imaging for screening and diagnostic purposes, particularly coronary CT angiography, the number of adult patients diagnosed with anomalous origin of the coronary arteries (AOCA) has risen significantly. While current guidelines offer a general framework for managing and treating AOCA, patients present with diverse anomalies, symptoms, and clinical presentations, making broad recommendations less universally applicable. Notably, a wide range of treatment options exists, but there is no clear consensus on the best intervention strategy. Presented here are three cases of AOCA emphasizing the anatomical variations, clinical presentations, and the utility of coronary CT angiography in delineating anatomy and identifying high-risk features.
随着成像技术越来越多地用于筛查和诊断目的，尤其是冠状动脉CT血管造影，被诊断为冠状动脉异常起源（AOCA）的成年患者数量显著增加。虽然当前指南为AOCA的管理和治疗提供了一个总体框架，但患者存在各种不同的异常、症状和临床表现，使得广泛的建议并非普遍适用。值得注意的是，存在多种治疗选择，但对于最佳干预策略尚无明确共识。本文介绍了三例AOCA病例，强调了解剖变异、临床表现以及冠状动脉CT血管造影在描绘解剖结构和识别高危特征方面的作用。
