A clinical report on the anomalous aortic origin of the right coronary artery

Anomalous aortic origin of the right coronary artery (AAORCA) is a rare congenital anomaly where the right coronary artery originates abnormally from the aorta, posing risks such as myocardial ischemia and sudden cardiac death, particularly in young athletes. Symptoms range from being asymptomatic to exertional signs such as dizziness or chest pain. Diagnosis is typically made using coronary computed tomography angiography, the gold standard for detailed assessment. Treatment depends on symptom severity, ranging from medical management to surgical options such as unroofing, reimplantation, or bypass grafting. This report presents a case of a 9-year-old patient diagnosed with AAORCA, exhibiting mild symptoms in the absence of exertional intolerance. This case emphasizes the importance of imaging, regular follow-ups, and early diagnosis. Personalized treatment and further research are crucial for improving outcomes and reducing the risk of sudden cardiac death in AAORCA patients.