Major coronary artery anomalies in a pediatric population: incidence and clinical importance
Julie A. Davis, MDa,
Frank Cecchin, MD, FACCa,
Thomas K. Jones, MD, FACCa and
Michael A. Portman, MD, FACCa
a Department of Cardiology, Childrens Hospital and Regional Medical Center, Seattle, Washington, USA

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Figure 1 Origin of the LMCA from the right sinus of Valsalva is shown in B and C. Arrow in A points to branching of the LMCA into the LAD and LCA. Abnormal direction of blood flow is shown by color Doppler (blue) in D. LAD = left anterior descending artery; LCA = left circumflex artery; LMCA = left main coronary artery.
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Figure 2 Angiograms of the LMCA and RCA both originating from the right sinus of Valsalva (A is LAO view; B is cranial RAO view). LAO = left anterior oblique; LMCA = left main coronary artery; RAO = right anterior oblique; RCA = right coronary artery.
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Figure 3 Arrow in A shows the origin of the RCA from the left sinus of Valsalva. Abnormal direction of blood flow is shown by color Doppler (red) in B. RCA = right coronary artery.
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