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Updated: Jun 21, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Unusual malignant coronary artery anomaly: results of coronary angiography, MR imaging, and multislice CT
Jonas Apitzsch1, Harald P Kühl, Georg Mühlenbruch
1Department of Diagnostic Radiology, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany. apitzsch@rad.rwth-aachen.de
Insights
A rare congenital heart anomaly, the left coronary artery originating from the right sinus of Valsalva, was identified. This case highlights imaging techniques for diagnosing coronary artery anomalies.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Congenital coronary artery anomalies are rare but can lead to significant cardiovascular events.
- Understanding the variations in coronary artery origin and course is crucial for diagnosis and management.
Observation:
- A 49-year-old male presented with intermittent symptoms.
- The patient exhibited an uncommon anomaly: the left coronary artery originated from the right sinus of Valsalva.
Findings:
- The anomalous left coronary artery followed an interarterial and intraseptal course.
- Coronary angiography, magnetic resonance imaging (MRI), and multislice computed tomography (MSCT) were utilized for diagnosis.
Implications:
- This case underscores the importance of advanced imaging in diagnosing rare coronary artery anomalies.
- Accurate identification of such anomalies is vital for appropriate clinical management and risk stratification.
Abstract:
We report the case of a man with an uncommon anomaly of the origin and course of the left coronary artery. Clinical, coronary angiography, magnetic resonance imaging, and multislice computed tomography findings of this intermittently symptomatic 49 year-old patient with the rare anomaly of his left coronary artery stemming from the right sinus of Valsalva and taking an interarterial and intraseptal course are presented. The diagnostic value of the different imaging modalities is discussed.
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