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.

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.