Please click here to obtain permission to reproduce this image.
Click on image to view larger version.
Figure 1 Transthoracic echocardiography from a short-axis plane in a patient with anomalous origin of the right coronary artery from the left sinus of Valsalva and an intramural course of the anomalous coronary. The anomalous right coronary artery can be seen arising from the left sinus of Valsalva (A) near the origin of the left main coronary artery (LMCA) and coursing intramurally within the anterior aortic wall (small arrows) between the aorta (Ao) and the pulmonary artery (PA) towards the right sinus of Valsalva. Color Doppler imaging (B) shows the linear diastolic flow of the anomalous coronary within the anterior aortic wall (arrow); the red color signal confirms anomalous coronary flow towards the transducer anteriorly, consistent with the coronary originating from the left sinus and coursing towards the more anteriorly positioned right sinus. For the accompanying videos corresponding to Figure 1 (Videos 1 and 2), please see the July 2 issue of JACC at www.cardiosource.com/jacc.html.
|
