Abnormal Coronary Artery Connection to the Left Ventricle in a Patient With Coronary Artery Disease Peter Fries, MD, Alexander Massmann, MD, Hermann.

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Presentation transcript:

Abnormal Coronary Artery Connection to the Left Ventricle in a Patient With Coronary Artery Disease Peter Fries, MD, Alexander Massmann, MD, Hermann Hubert Klein, MD, Amelie Hübner, Hans-Joachim Schäfers, MD The Annals of Thoracic Surgery Volume 95, Issue 4, Pages e91-e93 (April 2013) DOI: 10.1016/j.athoracsur.2012.10.040 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Coronary angiography at early diastole demonstrates a markedly dilatated high marginal branch of the left circumflex artery with connection to a posterior marginal branch (white arrowhead) and atypical drainage in the left ventricle (white arrow). (B) The corresponding coronary angiogram at late diastole demonstrates the maximum filling of the vascular channel connecting between the marginal coronary artery and the left ventricle (white arrow). The Annals of Thoracic Surgery 2013 95, e91-e93DOI: (10.1016/j.athoracsur.2012.10.040) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Three-dimensional reconstruction of the electrocardiographic gated contrast enhanced coronary computed tomography angiography (CCTA) showing correspondingly the dilatated high marginal branch with connection to posterior marginal branch (M2, white arrowhead) and the posterior descending artery (PDA, black arrowhead) draining through the atypical vascular channel into the left ventricle (white arrow). The Annals of Thoracic Surgery 2013 95, e91-e93DOI: (10.1016/j.athoracsur.2012.10.040) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Multiplanar reconstruction of the computed tomography angiography (CCTA) in 2-chamber view and (B) short axis orientation. There are high-grade stenoses at the proximal aspect of the left anterior descending (LAD) artery based on both calcified and noncalcified plaques (arrowheads in A). In addition, CCTA clearly depicts the abnormal connection between the epicardial arteries of the posterior wall and left ventricle (arrow and arrowhead, respectively, in B). The Annals of Thoracic Surgery 2013 95, e91-e93DOI: (10.1016/j.athoracsur.2012.10.040) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions