title: Anomalous left main coronary artery detected by CT angiography.
abstract: The growing improvements of computed tomography have made this technique more and more available for cardiac evaluation. Coronary artery anomalies (CAAs) are often incidental findings in subjects with suspected coronary artery disease (CAD) undergoing coronary angiography or computed tomography coronary angiography (CTCA). In some cases, CAAs can be clinically relevant so their identification could change radically patient management and treatment. We report the case of a 68-year-old male patient with known CAD and associated anomalous origination of the left coronary artery from the opposite sinus.
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy. eforte@sdn-napoli.it.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Forte
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy.
authors.forename: Marianna
authors.initials: M
authors.lastname: Inglese
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy.
authors.forename: Teresa
authors.initials: T
authors.lastname: Infante
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy.
authors.forename: Concetta
authors.initials: C
authors.lastname: Schiano
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy.|U.O.C. Immunohematology, Transfusion Medicine and Transplant Immunology, Regional Reference Laboratory of Transplant Immunology, Azienda Ospedaliera Universitaria (AOU), Second University of Naples, Piazza Luigi Miraglia 2, 80138, Naples, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Napoli
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Soricelli
authors.affiliation: IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Salvatore
authors.affiliation: Department of Cardiology, San Gennaro Hospital, Via San Gennaro dei Poveri 2, 80100, Naples, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Tedeschi
mesh_terms: D000368:Aged; D063405:Anatomic Variation; D000072226:Computed Tomography Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male
keywords: Computed tomography coronary angiography; Coronary angiography; Coronary anomalies; Coronary artery bypass graft
references.citation: Case Rep Vasc Med. 2013;2013:380952
references.pmid: 24455397
references.citation: Am Heart J. 1997 Apr;133(4):428-35
references.pmid: 9124164
references.citation: Eur Radiol. 2005 Jun;15(6):1110-21
references.pmid: 15756551
references.citation: Circulation. 2007 Mar 13;115(10):1296-305
references.pmid: 17353457
references.citation: Int J Cardiol. 2006 Aug 28;111(3):430-5
references.pmid: 16271776
references.citation: Tex Heart Inst J. 2009;36(4):313-5
references.pmid: 19693305
references.citation: Nat Rev Cardiol. 2011 Oct 11;8(12):706-19
references.pmid: 21989050
references.citation: J Thorac Imaging. 2014 Sep;29(5):W89
references.pmid: 24905631
references.citation: J Am Coll Cardiol. 1984 Mar;3(3):766-71
references.pmid: 6693648
references.citation: Circulation. 2002 Feb 12;105(6):e42-3
references.pmid: 11839639
references.citation: Radiol Med. 2006 Apr;111(3):376-91
references.pmid: 16683085
references.citation: Angiology. 2001 Aug;52(8):521-6
references.pmid: 11512690
references.citation: J Am Coll Cardiol. 2005 Jul 5;46(1):147-54
references.pmid: 15992649