Eur J Cardiothorac Surg 2006;29:610
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Anomalous origin of the left coronary artery from the right aortic sinus: surgery based on diagnosis by 64-slice CT
Phalla Ou
a
,
*
,
Franck Iserin
b
,
Pascal Vouhe
c
,
Damien Bonnet
b
a Department of Pediatric Radiology, Hôpital Necker-Enfants Malades, 149 rue de Sèvres 75743, Paris Cedex 15, France
b Department of Pediatric Cardiology, Hôpital Necker-Enfants Malades, 149 rue de Sèvres 75743, Paris Cedex 15, France
c Department of Pediatric Cardiovascular Surgery, Hôpital Necker-Enfants Malades, 149 rue de Sèvres 75743, Paris Cedex 15, France
Received 10 November 2005;
accepted 16 December 2005.
* Corresponding author. Tel.: +33 1 44 49 51 71; fax: +33 1 44 49 51 70. (Email: phalla.ou{at}nck.ap-hop-paris.fr).
Key Words: Computed tomography • Anomalous coronary artery
A 14-year-old boy presented with syncope and chest pain during exertion. The 64-slice CT angiography demonstrated ostial stenosis (Fig. 1
, ) of the left coronary artery (LCA) which abnormally rises from the right sinus (Fig. 2
, ). LCA was successfully re-implanted in the left sinus on the basis of this CT diagnosis.
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Fig. 1. Coronary angiography with 64-slice CT (GE, LightSpeed VCT, Milwaukee, USA). (A and B) Please note ostial stenosis (arrow) of the left coronary artery; PA: pulmonary artery; Ao: aorta; LV: left ventricle. (C) CT-endocoronary exploration showing this ostial stenosis.
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Fig. 2. (A) 3D volume-rendering of aortic root clearly showing the anomalous origin of the left coronary from the right aortic sinus. (B) Abnormal course of the left coronary artery between the aorta and the pulmonary trunk.
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Appendix A
Supplementary data
Supplementary data associated with this article can be found in the online version at doi:10.1016/j.ejcts.2005.12.031.
