Echocardiographic diagnosis of anomalous origin of the left coronary artery from the pulmonary artery.
We found increased systolic coronary flow in transthoracic pulsed wave (PW) Doppler in a 42-year-old patient with anomalous origin of left main coronary artery from the pulmonary artery. This is a characteristic echocardiographic finding in this anomaly in the presence of collateral circulation and coronary L-R shunt. In comparison with so far used echocardiographic criteria this parameter when present allows quick recognition of anomalous origin of left coronary artery from the pulmonary artery, and its differentiation from other potentially lethal coronary anomalies.
Drinkovic
Niksa
N
Clinical Hospital Center Zagreb, University Clinic of Cardiovascular Diseases, Kispatićeva 12, 10000 Zagreb, Croatia.
Margetic
Eduard
E
Smalcelj
Anton
A
Brida
Vojtjeh
V
D000328:Adult; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery