IJCS | Volume 31, Nº5, September / October 2018

555 1. Dodge-Khatami A, Mavroudis C, Backer CL. Congenital Heart Surgery Nomenclature And Database Project: anomalies of the coronary arteries. Ann Thorac Surg. 2000;69(4 Suppl):S270-97. 2. Veras FH, Victor EG, Saraiva LC, Lopes MM. Anomalous origin of coronary arteries. Rev Bras Cardiol Invas. 2007;15(3):285-92. 3. Agrawal H, Mery CM, Krishnamurthy R, Molossi S. Anatomic types of anomalous aortic origin of a coronary artery: a pictorial summary. Congenit Heart Dis. 2017;12(5):603-6. 4. Erez E, Tam VK, Doublin NA, Stakes J. Anomalous coronary artery with aortic origin and course between the great arteries: improved diagnosis, anatomic findings, and surgical treatment. Ann Thorac Surg. 2006;82(3):973-7. 5. Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB, et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology Foundation/AmericanHeart Association Task Force on Clinical Practice Guidelines and theHeart RhythmSociety. Circulation. 2017 Oct 30. [Epub ahead of print]. 6. Angelini P. Coronary artery anomalies: an entity in search of an Identity. Circulation. 2007;115(10):1296-305. 7. Molossi S, Agrawal H. Clinical evaluation of anomalous aortic origin of a coronary artery (AAOCA). Congenit Heart Dis. 2017;12(5):607-9. 8. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J AmColl Cardiol. 2000;35(6):1493-501. 9. Mery CM. Decision making in anomalous aortic origin of a coronary artery. Congenit Heart Dis. 2017;12(5):630-2. 10. Sathananthan J, Gabriel R, Kay P, Van Pelt N. Two causes of ventricular tachycardia in a 26 year-old male. Heart Lung Circ. 2014;23(6):586-8. References Sousa et al. Ventricular tachycardia and anomalous coronary Int J Cardiovasc Sci. 2018;31(5)551-555 Case Report This is an open-access article distributed under the terms of the Creative Commons Attribution License or ostium anomaly. 9 The management tends to be more conservative, with the use of beta-blockers and changes in lifestyle, aiming to avoid strenuous physical exercises. Therefore, the anomalous origin of the coronary artery is a group of rare congenital cardiac malformations with variable presentation. Due to the possibility of a lethal prognosis, it is necessary to identify the target population to establish screening methods to attain an early diagnosis of the anatomical alteration. Because it is more frequently associatedwith sudden death, a protocol should be established for young individuals practicing highly competitive sports or those subject to strenuous physical activities, aiming to prevent such an outcome. The diagnosis should always be recalled in cases of ventricular tachyarrhythmias 10 with no other apparent cause, being a challenge for clinical practice, since this is a silent condition, but with definitive surgical treatment. Author contributions Conception and design of the research: Sousa JCV, Miranda RM, Silva PMN, Madruga GM, Figueiredo NMS, Farias DC. Acquisition of data: Miranda RM, Silva PMN, Madruga GM, Figueiredo NMS, Farias DC. Analysis and interpretation of the data: Sousa JCV, Miranda RM, Silva PMN, Madruga GM, Figueiredo NMS, Farias DC. Writing of the manuscript: Miranda RM, Silva PMN, Madruga GM, Figueiredo NMS, Farias DC. Critical revision of the manuscript for intellectual content: Sousa JCV. Supervision / as the major investigador: Sousa JCV. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associated with any thesis or dissertation work.