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Multimodality cardiac imaging in anomalous aortic origin of a coronary artery: a case report highlighting the role of myocardial perfusion imaging in the presence of high-risk features

  • Juan Bello,
  • Lorik Berisha,
  • Giselle A. Suero-Abreu,
  • Azar Radfar,
  • Jordan P. Bloom,
  • Michael T. Osborne,
  • Ahmed Tawakol

摘要

Anomalous aortic origin of a coronary artery is a congenital malformation that can induce myocardial ischemia impacting the quality of life and even leading to sudden cardiac death. Identifying ischemia and high-risk features is of paramount importance to guide therapy; however, the former represents a clinical challenge. The use of multimodality cardiac imaging with coronary computed tomography and myocardial perfusion imaging represents a non-invasive strategy to identify ischemia, quantify ischemic burden, and aid in risk stratification.