Anomalous origin of the left main artery from the pulmonary artery: Adult presentation with systemic collateral supply and giant right coronary artery.

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Presentation transcript:

Anomalous origin of the left main artery from the pulmonary artery: Adult presentation with systemic collateral supply and giant right coronary artery aneurysm Pietro Bajona, MD, Daniele Maselli, MD, Roberto Dore, MD, Gaetano Minzioni, MD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 2, Pages 518-520 (August 2007) DOI: 10.1016/j.jtcvs.2007.04.016 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Dye injection into the descending aorta showing a bronchial artery connected through an anomalous course with the left coronary artery. B, Dye injection into the right internal thoracic artery showing an abnormal collateral branch connecting to the left coronary artery. DA, Descending aorta; BA, bronchial artery; LCA, left coronary artery; RITA, right internal thoracic artery; CB, collateral branch. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 518-520DOI: (10.1016/j.jtcvs.2007.04.016) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Preoperative computed tomographic scan showing a giant aneurysm involving the proximal right coronary artery and wide ectasia of the coronary arteries. B, Ten months’ follow-up computed tomographic scan showing optimal reconstruction of the right coronary artery. AA, Ascending aorta; MPA, main pulmonary artery; LCA, left coronary artery; RCAA, right coronary artery aneurysm; RCA, right coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 518-520DOI: (10.1016/j.jtcvs.2007.04.016) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions