Left coronary artery originating from right sinus of Valsalva with diagnosis confirmed by CT--a case report.
A 57-year-old woman presented with classic exertional angina and was then discovered to have a rare coronary anomaly in which the left coronary artery originated from the right sinus of Valsalva. The diagnosis was made by coronary angiography and confirmed with computed tomography (CT). The patient then underwent surgical revascularization with complete resolution of symptoms. The course of the aberrant artery between the aorta and pulmonary artery/right ventricular outflow tract was confirmed by gated thin-slice CT angiography with bolus contrast injection. To the authors' knowledge, this is the first case report where CT was used to confirm this diagnosis.
Khouzam
Rami
R
The Tucson Hospitals Medical Education Program (THMEP), Internal Medicine Residency, Tucson Medical Center, Tucson, AZ, USA. khouzamrami@yahoo.com
Marshall
Timothy
T
Lowell
Douglas
D
Siler
John R
JR
D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed