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Case Reports
. 2022 Aug 17;4(16):1060-1064.
doi: 10.1016/j.jaccas.2022.07.009.

Atherosclerotic Coronary Artery Disease in a Younger Adult With Transseptal Anomalous Left Coronary Artery

Eunwoo Park  1 , Payush Chatta  1 , Anas Alani  2 , Dennis Grewal  2 , Anees Razzouk  3 , David Rabkin  3 , Ahmed Kheiwa  2 , Purvi Parwani  2
Affiliations
Case Reports

Atherosclerotic Coronary Artery Disease in a Younger Adult With Transseptal Anomalous Left Coronary Artery

Eunwoo Park et al. JACC Case Rep. .

Abstract

We present a case of extensive coronary atherosclerotic disease in a younger patient with an anomalous left coronary artery with transseptal course and show the utility of multimodality evaluation to determine the culprit lesion in patients presenting with this rare association. (Level of Difficulty: Intermediate.).

Keywords: CCTA, cardiac computed tomography angiography; CMR, cardiac magnetic resonance imaging; anomalous coronary artery; atherosclerotic coronary disease; cardiac computed tomography; cardiac magnetic resonance imaging; multimodality imaging; non–ST-segment elevation myocardial infarction.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Cardiac Angiography Showing Atherosclerotic Disease
Figure 2
Figure 2
Cardiac Computed Tomography Angiography The left main coronary artery (LM) coursing between the aortic root and the right ventricular outflow tract.
Figure 3
Figure 3
Cardiac Magnetic Resonance Imaging: Anomalous Left Coronary Artery The transseptal course of the anomalous left coronary artery.
Figure 4
Figure 4
Cardiac Computed Tomography Angiography: 3-Dimensional Reconstructed Image
Figure 5
Figure 5
Cardiac Magnetic Resonance Imaging Transmural delayed enhancement in the basal/mid-anterolateral wall with areas of microvascular obstruction, consistent with infarcted tissue.
Figure 6
Figure 6
3-Dimensional Image of the Heart Showing Anomalous Left Coronary Artery
See this image and copyright information in PMC

References

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