Yinsu Zhu, MD, Lijun Tang, MD, PhD, Yi Xu, MD

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Presentation transcript:

Anomalous origin of left coronary artery from the pulmonary artery in a 60-year-old woman Yinsu Zhu, MD, Lijun Tang, MD, PhD, Yi Xu, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 5, Pages 1706-1707 (May 2014) DOI: 10.1016/j.jtcvs.2013.10.017 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A-C, Coronary computed tomography angiography demonstrates the origin of the dilated left coronary artery (LCA) from the pulmonary arterial (PA) trunk. The right coronary artery (RCA) originated from the right coronary cusp. LV, Left ventricle; LM, left main artery; LCX, left circumflex coronary artery; LAD, left anterior descending coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1706-1707DOI: (10.1016/j.jtcvs.2013.10.017) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A-C, Volumetric rendering images demonstrate the dilated right coronary artery (RCA) and left coronary artery system. Extensive collateral vessels between them are presented crossing the free wall of the right ventricle, the inferolateral wall of the left ventricle, and the apex of the heart (within asterisks). LAD, Left anterior descending coronary artery; OM, obtuse marginal branch; DA, diagonal branch; PDA, posterior descending artery. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1706-1707DOI: (10.1016/j.jtcvs.2013.10.017) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A-C, Late gadolinium enhancement images from cardiovascular magnetic resonance show varying degrees of subendocardial late gadolinium enhancement in the basal to midseptal, anterior, and apical anteroseptal segments (black arrows). The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1706-1707DOI: (10.1016/j.jtcvs.2013.10.017) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions