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Unusual intramural course in an anomalous left coronary artery from the opposite coronary sinus

Part of: Advanced Imaging

Published online by Cambridge University Press:  28 February 2022

Giuliano Giusti Open the ORCID record for Giuliano Giusti [Opens in a new window] ,
Mariantonia Villano  and
Marco Pozzi
Giuliano Giusti*
Affiliation:
Unit of Pediatric Cardiology, Gaslini Pediatric Hospital, Genoa, Italy
Mariantonia Villano
Affiliation:
Anesthesia and Intensive Care Unit, Department of Biomedical Sciences and Public Health, Università Politecnica Delle Marche, Ancona, Italy
Marco Pozzi
Affiliation:
Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Ospedali Riuniti, Ancona, Italy
*
Author for correspondence: G. Giusti, MD, Unit of Paediatric Cardiology, Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, 16147, Genoa, Italy. Tel: +39-01056361. Email: giulianogiusti@gaslini.org
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Abstract

We report a case of a patient with an anomalous left coronary artery originating from the opposite coronary sinus with evidence of intramural course at the level of the septal commissure and no slit-like deformation of the coronary ostium, acute take-off, or proximal vessel narrowing. According to previous publications, patients with anomalous coronary artery and intramural segments identified at surgery had coronary CT findings of acute take-off angle or proximal vessel narrowing; slit-like orifice; and elliptical cross-sectional shape. Although further investigation is required, we suggest that the intramural course may not be ruled out based on the absence of slit-like ostium, acute take-off, or proximal vessel narrowing.

Keywords

Anomalous aortic origin of a coronary arteryanomalous coronary arterycoronary CT scan
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 11 , November 2022 , pp. 1848 - 1850
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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