Anomalous Origin of the Left Circumflex Coronary Artery from the Pulmonary Artery
Author Information
Author(s): Korosoglou Grigorios, Ringwald Gerd, Giannitsis Evangelos, Katus Hugo A
Primary Institution: Department of Cardiology, University of Heidelberg, Heidelberg, Germany
Hypothesis
Can cardiovascular magnetic resonance (CMR) effectively delineate the proximal course of an anomalous left circumflex coronary artery originating from the pulmonary artery in an adult patient?
Conclusion
CMR successfully identified the origin of the anomalous left circumflex coronary artery from the right pulmonary artery in an adult patient.
Supporting Evidence
- The patient experienced exertional chest discomfort and had a positive exercise ECG.
- Nuclear scintigraphy confirmed the presence of inducible ischemia in the lateral myocardial wall.
- Conventional coronary angiography could not determine the exact origin of the anomalous artery.
Takeaway
This study shows that a special imaging technique called CMR can help doctors find a rare heart problem in adults where a blood vessel comes from the wrong place.
Methodology
The study used cardiovascular magnetic resonance (CMR) imaging to identify the origin and course of the anomalous coronary artery.
Limitations
The study is based on a single case, which may limit the generalizability of the findings.
Participant Demographics
The patient was a 54-year-old woman with no other congenital heart disease.
Digital Object Identifier (DOI)
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