The ‘coronary artery sandwich anomaly’

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Presentation transcript:

The ‘coronary artery sandwich anomaly’ Wang Shu-shui , Chen Ji-mei , Zeng Guo-hong , Huang Mei-ping , Zhang Zhi-wei , Zhuang Jian International Journal of Cardiology Volume 172, Issue 1, Pages e196-e198 (March 2014) DOI: 10.1016/j.ijcard.2013.12.074 Copyright © 2013 The Authors Terms and Conditions

Fig. 1 A: Transthoracic echocardiography showing left ventricular enlargement and regurgitation of the mitral valve. B: Parasternal short-axis view of echocardiography demonstrates a left CASA (arrow) with stenosis of the main left coronary artery. C: Multiplanar reconstruction of MDCT revealing a left CASA (arrow) with an intramural course. D: Volume-rendered image of the heart shows the left coronary artery arising from the right sinus and coursing in an inter-arterial manner. LV, left ventricle; RV, right ventricle; LA, left atrium; AO, aorta; PA, pulmonary artery; RVOT, right ventricular outflow tract; SVC, superior vena cava. International Journal of Cardiology 2014 172, e196-e198DOI: (10.1016/j.ijcard.2013.12.074) Copyright © 2013 The Authors Terms and Conditions

Fig. 2 A: A right CASA (arrow) shown by transthoracic echocardiography. B: Multiplanar reconstruction of MDCT revealing the inter-arterial course of the right CASA (arrow). C: Volume-rendered image of a right CASA. D: MDCT (curved planar reconstruction) reveals no stenosis in the right coronary artery. International Journal of Cardiology 2014 172, e196-e198DOI: (10.1016/j.ijcard.2013.12.074) Copyright © 2013 The Authors Terms and Conditions