(Circulation. 1998;97:1869.)
© 1998 American Heart Association, Inc.
Images in Cardiovascular Medicine |
Noninvasive Diagnosis of Anomalous Origin of the Left Main Coronary Artery From the Pulmonary Artery
Guy Vaksmann, MD;
Pierre Mauran, MD;
Charles Francart, MD;
; Christian Rey, MD
From the Department of Pediatric Cardiology, Cardiologic Hospital, Lille,
France.
Correspondence to Guy Vaksmann, MD, Pediatric Cardiology, Cardiologic Hospital, F59037 Lille, France.
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Figure 1. Two-dimensional
echocardiography. High parasternal short-axis view
demonstrating left coronary artery originating from
pulmonary trunk posteriorly. Arrow shows left anterior
descending coronary artery; arrowhead, left circumflex artery.
A indicates anterior; Ao, aorta; L, left; and PA, pulmonary
artery.
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Figure 2. Echocardiographic images in a
second patient. A, Color Doppler high parasternal short-axis view
showing streaming of blood flow from left coronary artery to
pulmonary artery. Arrowheads indicate left anterior descending
coronary artery. B, Pulsed Doppler with interrogation of
left coronary artery ostium showing biphasic signal with two
velocity peaks in systole (s) and diastole (d). C, High
parasternal short-axis view after direct reimplantation of left
coronary artery on aorta. Arrow shows left anterior descending
artery; arrowhead, left circumflex artery. A indicates anterior; Ao,
aorta; PA, pulmonary artery; PV, pulmonary valves; and
L, left.
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Footnotes
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1–267, Houston, TX 77030.
