title: Echocardiographic Findings of an Anomalous Origin of the Left Coronary Artery in Children and Adolescents: Real or Fake?
abstract: An anomalous origin of the left coronary artery (LCA) is a relatively uncommon congenital heart defect that can lead to myocardial ischemia and sudden cardiac death. An LCA arising from the pulmonary artery and an LCA arising from the opposite sinus of Valsalva are the common types of anomalous origins of the LCA. Echocardiographic assessment of the coronary arteries is an important component of the routine cardiovascular evaluation, but echocardiographic "pseudo images" of LCA origination can be present in some patients. Detection of an anomalous origin of the LCA remains a challenge to sonographers.
authors.affiliation: Department of Pediatric Cardiology, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China.
authors.forename: Shu-Shui
authors.initials: SS
authors.lastname: Wang
authors.affiliation: Department of Cardiovascular Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Children's Hospital, Guangzhou, China.
authors.forename: Xin-Xin
authors.initials: XX
authors.lastname: Chen
authors.affiliation: Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China.
authors.forename: Ji-Mei
authors.initials: JM
authors.lastname: Chen
authors.affiliation: Department of Pediatric Cardiology, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China.
authors.forename: Zhi-Wei
authors.initials: ZW
authors.lastname: Zhang
authors.affiliation: Department of Cardiology, Marien-Hospital-Marl, Recklinghausen, Germany.
authors.forename: Ying
authors.initials: Y
authors.lastname: Ma
authors.affiliation: Department of Radiology, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China.
authors.forename: Mei-Ping
authors.initials: MP
authors.lastname: Huang
authors.affiliation: Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China zhuangjian5413@163.com.
authors.forename: Jian
authors.initials: J
authors.lastname: Zhuang
mesh_terms: D000293:Adolescent; D002648:Child; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors / Q000517:prevention & control*; D004452:Echocardiography / Q000379:methods*; D006801:Humans
keywords: Bland-White-Garland syndrome; child; coronary vessel anomalies; echocardiography; sudden cardiac death