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. 2011 Jan 1;3(1):8-12.
doi: 10.1136/ha.2010.003244. eCollection 2011.

Coronary artery anomalies: a practical approach to diagnosis and management

Mohammed Ali  1 , Alan Hanley  1 , Eugene P McFadden  2 , Carl J Vaughan  1
Affiliations

Coronary artery anomalies: a practical approach to diagnosis and management

Mohammed Ali et al. Heart Asia. .

Abstract

The authors deal with common coronary anomalies, discuss their anatomy and some diagnostic and clinical aspects, and describe some of the principles of management.

Keywords: Clinical cardiology; congenital—adult; coronary angiography; coronary intervention; sudden cardiac death.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Diagrammatic angiographic illustration of the four possible left main coronary artery courses arising from the right coronary cusp. Illustration of the coronary angiographic images in right anterior oblique projection (redrawn from Ishikawa10) showing the four possible courses of an aberrant left main coronary artery (LMCA) arising from the right coronary cusp or the right coronary artery. LAD, left anterior descending; LCx, left circumflex.
Figure 2
Figure 2
Diagrammatic representation of the four possible pathways for the anomalous left main coronary artery (LMCA) arising from the right coronary cusp or the right coronary artery (RCA): 1, anterior to the right ventricular outflow tract (anterior course); 2, trans-septal or intraseptal course; 3, interarterial course; 4, retroaortic course. AV, aortic valve; LA, left atrium; LAA, left atrial appendage; PV, pulmonary valve.
Figure 3
Figure 3
Example of an aberrant left main coronary artery arising from the right coronary cusp. Angiographic images of patient with anomalous left main coronary artery arising from the right coronary cusp, an example of septal course, showing clearly the septal perforator arising from the left main coronary artery. (A) left anterior oblique view; (B) right anterior oblique cranial view; (C) spider view.
See this image and copyright information in PMC

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