J Cardiovasc Imaging.  2018 Dec;26(4):253-255. 10.4250/jcvi.2018.26.e23.

Three in One Coronary Pathology: Finding the Culprit

• Khanna R
• Jaitan S
• Soni N
• Goel PK

• KMID: 2430002
• DOI: http://doi.org/10.4250/jcvi.2018.26.e23

Abstract

No abstract available.

MeSH Terms

Pathology*

Figure

• 

  Figure 1 Coronary angiogram. (A) Through right radial artery route left anterior oblique view showing anomalous origin of left anterior descending artery from right sinus of Valsalva traversing anterior to right ventricle outflow tract. There is a coronary cameral fistula (arrow) from distal branch of diagonal draining into left ventricle. (B) Through right radial artery route right anterior oblique view showing anomalous origin of left anterior descending artery from right sinus of Valsalva traversing anterior to right ventricle outflow tract (arrow).

• 

  Figure 2 Coronary angiogram. (A) Right coronary artery was normal in origin and super-dominant, supplying up-to left circumflex artery territory having severe atherosclerotic stenosis (arrow) in mid right coronary artery. (B) Aortic root angiogram in left anterior oblique view showing no coronary artery origin from left aortic sinus.

• 

  Figure 3 (A) Coronary CT angiography. Volume rendered image shows common ostium of the right and left coronary arteries arising from the right anterior sinus (solid arrow) with anomalous course of the left coronary artery anterior to RVOT (open arrow). Left anterior descending artery is giving early diagonal branch which has a fistulous communication between one of its distal branch to left ventricle (solid arrow). (B) The curved multi-planar reformatted image demonstrates that left anterior descending coronary artery is giving early diagonal branch (open arrow) which has a fistulous communication (long arrow) between one of its distal branch to left ventricle (solid arrow). PA: pulmonary artery, RVOT: right ventricle outflow tract.

Reference

1. Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation. 2007; 115:1296–1305.

2. Pursnani A, Jacobs JE, Saremi F, et al. Coronary CTA assessment of coronary anomalies. J Cardiovasc Comput Tomogr. 2012; 6:48–59.