Shyam Sathanandam, MD, T. K

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Surgical Management of Simultaneous Left Coronary Atresia and Anomalous Right Coronary Artery Origin Shyam Sathanandam, MD, T. K. Susheel Kumar, MD, Umar Boston, MD, Christopher J. Knott-Craig, MD, FACS The Annals of Thoracic Surgery Volume 103, Issue 6, Pages e513-e515 (June 2017) DOI: 10.1016/j.athoracsur.2017.01.056 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Selective right coronary artery (RCA) angiogram in straight anteroposterior projection. The RCA takes an acute, angulated turn (star) as it arises from an abnormal superior and leftward origin. The left anterior descending fills retrograde from a large conal branch (black arrow) off the RCA. There is a long-segment atresia of the left main coronary artery (white arrow). The Annals of Thoracic Surgery 2017 103, e513-e515DOI: (10.1016/j.athoracsur.2017.01.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A three-dimensional curved multiplanar reformation image from an axial computed tomographic angiogram confirming the anomalous aortic origin of the right coronary artery from the left sinus with a long intramural course (arrow). The Annals of Thoracic Surgery 2017 103, e513-e515DOI: (10.1016/j.athoracsur.2017.01.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions