Anomalous origin of left main coronary artery: the value of myocardial scintigraphic and spiral computed tomography scans.
Anomalous origin of the left main coronary artery (LMCA) from the right sinus of the Valsalva or the proximal right coronary artery (RCA) is one of the most clinically important anomalies of coronary circulation. We report the case of a patient with chest pain and abnormal thallium myocardial perfusion scan in whom the anomaly was first detected on invasive coronary arteriography. The exact anatomic course of anomalous LMCA was confirmed using contrast enhanced computed tomography.
Cohenpour
Mehrzad
M
Department of Nuclear Medicine, Assaf Harofeh Medical Center, Zerifin, Israel. mehrzad@bezeqint.net
Tourovski
Arkadi
A
Zyssman
Itzhak
I
Friedensohn
Aharon
A
Gayer
Gabriela
G
Horne
Tifha
T
D000328:Adult; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000473:pathology; D003331:Coronary Vessels / Q000473:pathology*; D005260:Female; D006801:Humans; D009206:Myocardium / Q000473:pathology*; D010477:Perfusion; D011877:Radionuclide Imaging / Q000379:methods*; D013793:Thallium / Q000494:pharmacology; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods; D036542:Tomography, Spiral Computed / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*
D013793:Thallium