Coronary Artery To the Editor: The echocardiographic images of the anomalous origin of the left coronary artery from the main pulmonary artery presented by Lin et al1 are very instructive. But I disagree with the statement the authors made in the legend of their Figure 3 that “Turbulent flow from the main pulmonary artery through the orifice to the left coronary artery is evident.” In anomalous...

Anomalous origin of the right coronary artery: right internal thoracic artery of the right coronary artery bypass is not the answer. Minimally invasive direct coronary artery bypass – a surgical approach for anomalous right coronary artery from left aortic sinus of Valsalva. Anomalous right or left coronary artery from the contralateral coronary sinus: " high-risk " abnormalities in the initial...

1. Anomalies of origination and course • Absent left main trunk, • Anomalous location of coronary ostium within aortic root or near proper aortic sinus of Valsalva (for each artery) • Anomalous location of coronary ostium outside normal "coronary" aortic sinuses • Anomalous location of coronary ostium at improper sinus (which may involve joint origination or "single" coronary pattern) • Single ...

Coronary artery anomalies represent a disease spectrum from incidental to life-threatening. Anomalies of coronary artery origin and course are well-recognized in human medicine, but have received limited attention in veterinary medicine. Coronary artery anomalies are best described in the dog, hamster, and cow though reports also exist in the horse and pig. The most well-known anomaly in veteri...

BACKGROUND Coronary artery anomalies are evaluated by using catheter-based angiography. Multidetector row-computed tomography (MDCT) is a new noninvasive imaging technique that has excellent spatial resolution for detecting the origin and course of a coronary anomalous vessel. OBJECTIVE To determine the sensitivity of multidetector computed tomography in patients who had coronary artery anoma...

The association of anomalous right coronary artery originating from the pulmonary artery and constrictive pericarditis has never been showed in the literature. We present the first case of this unusual association in a patient with right heart failure. After diagnosis, the patient was referred to surgery and underwent phrenic-to-phrenic pericardiectomy; graft implant of right internal thoracic ...

BACKGROUND An anomalous coronary artery from the opposite sinus of Valsalva may increase sudden death risk in children and young adults, and surgical intervention is often recommended. The impact of this lesion when recognized in the adult and its management are ill defined. METHODS AND RESULTS We reviewed 210 700 cardiac catheterizations performed over a 35-year period at a single institutio...

BACKGROUND The study objective was to evaluate the role of transesophageal echocardiography in identifying the origin of anomalous coronary arteries and confirming their course in relation to the great vessels. The diagnosis of coronary anomalies is made by angiography. The anomalous left main artery with a course between the pulmonary artery and the aorta has been associated with myocardial in...

INTRODUCTION Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly and one of the causes of myocardial ischemia. The usual clinical course is severe left-sided heart failure and mitral valve insufficiency presenting during the first months of life. CASE PRESENTATION We report the case of a 6-month-old Tunisian girl who presented with dilated cardi...