Multimodality Imaging in Anomalous Aortic Origin of the Coronary Arteries: Lessons From 4 Athlete Cases.

ABSTRACT:

Background

Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital anomaly linked to increased risk of myocardial ischemia and sudden cardiac death, especially among athletes subjected to extreme physiological stress. The diagnostic and therapeutic strategies in highly active individuals remain challenging and represent important knowledge gaps.

Case summary

We present 4 cases of elite athletes with AAOCA with a variety of characteristics and detail their clinical evaluation, imaging and functional assessment, risk stratification, treatment decisions, and longitudinal follow-up.

Discussion

There are limited prospective data regarding the management of AAOCA in athletes. Autopsy studies have identified young age (<35 years), high exercise levels, and

SUBMITTER: Daems JJN 

PROVIDER: S-EPMC12273833 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature