Thomas Knickelbine et al. JIMG 2009;2:

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Presentation transcript:

Thomas Knickelbine et al. JIMG 2009;2:1085-1092 Congenital Coronary Anomalies Identified by Multidetector Computed Tomography Angiography (A) From a 56-year-old man with chest pain. Volume-rendered image (in superior to inferior orientation) showing anomalous right coronary artery origin from the left aortic sinus with an interarterial course (between aorta [Ao] and pulmonary artery [PA]) (arrow). (A′) Same patient shown in panel A. Coronal-axis plane demonstrates a slit-like right coronary artery ostia situated cephalad to the level of pulmonary valve (blue arrow). (B) Volume-rendered image from a 50-year-old woman with chest pain and exertional dyspnea shows left anterior descending coronary artery (arrows) origin from right aortic sinus, coursing anterior to the pulmonary artery. (C) Volume-rendered image from a 36-year-old man with exertional chest pain while biking, shows long tortuous fistula between left anterior descending coronary artery (LAD) and PA (arrow). AV = aortic valve; CorCTA = coronary computed tomography angiography; DIAG = diagonal coronary artery branch; LV = left ventricle. Thomas Knickelbine et al. JIMG 2009;2:1085-1092 American College of Cardiology Foundation