The 64-multislice computed tomogram averts misdiagnosis of an anomalous origin of the left main coronary artery.
A 38-year-old woman was discovered to have a systolic murmur for an unrelated complaint. Transesophageal echocardiography showed no atrial or ventricular septal defects, but multiple large collateral vessels in inter-ventricular septum. The origin of left coronary artery was not seen at the expected site on the aortic root. The 64-multislice computed tomography confirmed the diagnosis of an anomalous origin of the left coronary artery from the pulmonary artery. Left coronary artery was revascularized with a saphenous vein graft with an uneventful recovery.
Jebelli
Mohammad
M
Department of Cardiovascular Surgery, Shariati Hospital, Medical Sciences/University of Tehran, Tehran, Iran.
Kernstine
Kemp
K
Mandegar
Mohammad Hossein
MH
Sarzaeem
Mahmood Reza
MR
Rayatzadeh
Hussein
H
D000328:Adult; D017023:Coronary Angiography / Q000295:instrumentation / Q000379:methods*; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*