title: A heart within a heart.
abstract: A 44-year-old man with a history of end-stage dilated cardiomyopathy status-post orthotopic cardiac transplant 14 years ago presented for coronary angiography in preparation for re-operative tricuspid valve replacement. Coronary angiography revealed an anomalous origin of the left coronary artery, with a common coronary trunk arising from the right coronary cusp and bifurcating into right and left main coronary arteries. Interestingly, the right and left coronary arteries coursed to form the shape of a heart, hence, a heart within a heart! © 2017 Wiley Periodicals, Inc.
authors.affiliation: Heart & Vascular Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Edward T
authors.identifier: http://orcid.org/0000-0003-4002-7382
authors.initials: ET
authors.lastname: Carreras
authors.affiliation: Heart & Vascular Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Maya
authors.initials: M
authors.lastname: Barghash
authors.affiliation: Heart & Vascular Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Givertz
authors.affiliation: Heart & Vascular Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Deepak L
authors.identifier: http://orcid.org/0000-0002-1278-6245
authors.initials: DL
authors.lastname: Bhatt
mesh_terms: D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D016027:Heart Transplantation / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male
keywords: angiography; coronary; coronary anomaly; transplantation