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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Anomalous left main coronary artery detected by CT angiography

Ernesto Forte1, Marianna Inglese2, Teresa Infante2

  • 1IRCCS, SDN, Via E. Gianturco 113, 80143, Naples, Italy. eforte@sdn-napoli.it.

Surgical and Radiologic Anatomy : SRA
|January 31, 2016
PubMed

Insights

Computed tomography advancements enhance cardiac evaluation. Anomalous origination of the left coronary artery from the opposite sinus, a coronary artery anomaly, was identified in a patient with coronary artery disease, potentially altering management.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Computed tomography coronary angiography (CTCA) is increasingly utilized for cardiac evaluation.
  • Coronary artery anomalies (CAAs) are frequently discovered incidentally during cardiac imaging.
  • Identifying clinically significant CAAs can significantly impact patient treatment strategies.

Observation:

  • A 68-year-old male patient with known coronary artery disease (CAD) was evaluated.
  • The patient presented with an incidental finding of an anomalous origination of the left coronary artery from the opposite sinus.

Findings:

  • The case highlights the role of advanced computed tomography in detecting coronary artery anomalies.
  • The identified anomaly, anomalous origination of the left coronary artery from the opposite sinus, is a specific type of CAA.

Implications:

  • Accurate identification of CAAs through CTCA is crucial for appropriate patient management.
  • This case underscores the importance of recognizing and reporting incidental findings of CAAs.
  • Early detection of anomalous coronary arteries can lead to timely intervention and improved patient outcomes.

Keywords:
Computed tomography coronary angiographyCoronary angiographyCoronary anomaliesCoronary artery bypass graft

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