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Images in cardio-thoracic surgery

A rare coronary anomaly detected by computed tomography angiography: the left circumflex artery originating from the descending thoracic aorta

^a Albert Schweitzer Hospital, Department of Radiology, Dordrecht, The Netherlands
^b Albert Schweitzer Hospital, Department of Cardiology, Dordrecht, The Netherlands

Received 25 November 2008; received in revised form 22 January 2009; accepted 16 February 2009.

^_* Corresponding author. Address: Albert Schweitzer Hospital, Department of Radiology, P.O. Box 444, 3300 AH Dordrecht, The Netherlands. Tel.: +31 78 6542506; fax: +31 78 6523826. (Email: kockm@asz.nl).

Key Words: Coronary anomaly • Left circumflex artery • Descending aorta • Subvalvular aortic membrane • CT coronary angiography

The first 20% of the full text of this article appears below.

A 43-year-old woman known with a subaortic membrane presented with angina and dyspnoea. On coronary angiography the left circumflex artery (LCX) could not be visualised (Fig. 1 ). Computed tomography angiography demonstrated a LCX originating from the descending aorta (Fig. 2 ). To our knowledge, this specific anomaly has never been published.

View larger version (84K):   Fig. 1. Coronary angiogram. . . . [Full Text of this Article]