{"id":5217,"date":"2025-10-17T16:03:29","date_gmt":"2025-10-17T14:03:29","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5217"},"modified":"2026-05-05T14:30:09","modified_gmt":"2026-05-05T12:30:09","slug":"cvja-2025-072","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-072\/","title":{"rendered":"Anomalous aortic origin of the coronary arteries: a presentation of three cases and review of the literature"},"content":{"rendered":"
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\r\n \r\n \r\nAnisa Rafique Essop, Mohammed Zaid Moosa, Ahmed Rashid Essop, Martin John Sussman, Jonathan Hack, Mohammed Rafique Essop \r\n <\/div> \r\n<\/div> \r\n
\r\n Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n of Cardiovascular Journal of Africa.<\/div>\r\n
<\/div> \r\n
\r\n
\r\n Abstract \r\n <\/div> \r\n \r\n
\r\n \r\n \r\n \r\n \r\n \r\nIn this retrospective review of three patients presenting with anomalous aortic origin of the coronary arteries (AAOCA), we sought to highlight the varying presentations, discuss the optimal diagnostic imaging strategy and review current guidelines on the management of this condition. Over a one-year period three patients with AAOCA were identified. Pertinent data were extracted from case records and imaging, management and outcomes were reviewed in detail. All three patients had an anomalous right coronary artery originating from the left coronary sinus (AORCA) as well as a malignant course between the aorta and pulmonary artery. Although conventional angiography suggested the diagnosis, CT coronary angiography (CTA) was more useful in describing the anatomy and course of the anomalous artery and determining the necessity for and guidance to the type of surgical intervention required. All three patients underwent successful surgery. A brief literature review of the implications and management of this condition is provided.\r\n
\r\n \r\n\r\n \r\n <\/div> \r\n <\/div> \r\n \r\n \r\n
\r\n \r\n Keywords:<\/strong> \r\n \r\n anomalous coronary artery, computed tomography, management<\/strong> \r\n \r\n <\/div> \r\n \r\n
\r\n \r\n Submitted:<\/strong> November 28, 2024; \r\n Accepted:<\/strong> July 11, 2025; \r\n Published:<\/strong> October 17, 2025
\r\n Cardiovasc J Afr 2025; 36<\/b>: 499-504<\/em>\r\n
Volume 36, Issue 4<\/strong>
\r\n <\/div> \r\n \r\n
\r\n DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-072 \r\n <\/div> \r\n \r\n
\r\n\r\n Charlotte Maxeke Academic Hospital, Johannesburg, South Africa\r\n\r\n<\/strong>
\r\nAnisa Rafique Essop\r\n\r\n

\r\n\r\n Cardiology, Milpark Hospital, Johannesburg, South Africa\r\n\r\n<\/strong>
\r\nMohammed Zaid Moosa
\r\nAhmed Rashid Essop
\r\nMohammed Rafique Essop\r\n\r\n

\r\n\r\n Cardiothoracic Surgery, Milpark Hospital, Johannesburg South Africa\r\n\r\n<\/strong>
\r\nMartin John Sussman\r\n\r\n

\r\n\r\n Radiology, Sunninghill Hospital, Johannesburg, South Africa\r\n\r\n<\/strong>
\r\nJonathan Hack\r\n\r\n

\r\n \r\n\r\n [soshsc hide=\"logged\"]\r\n You need to be logged in to view and download<\/a> the full text PDF version. Register for a free account?<\/a><\/strong>

[\/soshsc]\r\n \r\n \r\n \r\n <\/div>\r\n \r\n<\/div>","protected":false},"excerpt":{"rendered":"

In this retrospective review of three patients presenting with anomalous aortic origin of the coronary arteries (AAOCA), we sought to highlight the varying presentations, discuss the optimal diagnostic imaging strategy and review current guidelines on the management of this condition. Over a one-year period three patients with AAOCA were identified. Pertinent data were extracted from case records and imaging, management and outcomes were reviewed in detail.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56,108],"tags":[],"class_list":["post-5217","post","type-post","status-publish","format-standard","hentry","category-case-reports","category-volume-36-issue-4"],"yoast_head":"\nAnomalous aortic origin of the coronary arteries: a presentation of three cases and review of the literature - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"In this retrospective review of three patients presenting with anomalous aortic origin of the coronary arteries (AAOCA), we sought to highlight the varying presentations, discuss the optimal diagnostic imaging strategy and review current guidelines on the management of this condition. 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