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(Circulation. 1998;97:1869.)
© 1998 American Heart Association, Inc.

Images in Cardiovascular Medicine

Noninvasive Diagnosis of Anomalous Origin of the Left Main Coronary Artery From the Pulmonary Artery

Guy Vaksmann, MD; Pierre Mauran, MD; Charles Francart, MD; ; Christian Rey, MD

From the Department of Pediatric Cardiology, Cardiologic Hospital, Lille, France.

Correspondence to Guy Vaksmann, MD, Pediatric Cardiology, Cardiologic Hospital, F59037 Lille, France.

View larger version (98K): [in this window] [in a new window]   Figure 1. Two-dimensional echocardiography. High parasternal short-axis view demonstrating left coronary artery originating from pulmonary trunk posteriorly. Arrow shows left anterior descending coronary artery; arrowhead, left circumflex artery. A indicates anterior; Ao, aorta; L, left; and PA, pulmonary artery.

View larger version (62K): [in this window] [in a new window]   Figure 2. Echocardiographic images in a second patient. A, Color Doppler high parasternal short-axis view showing streaming of blood flow from left coronary artery to pulmonary artery. Arrowheads indicate left anterior descending coronary artery. B, Pulsed Doppler with interrogation of left coronary artery ostium showing biphasic signal with two velocity peaks in systole (s) and diastole (d). C, High parasternal short-axis view after direct reimplantation of left coronary artery on aorta. Arrow shows left anterior descending artery; arrowhead, left circumflex artery. A indicates anterior; Ao, aorta; PA, pulmonary artery; PV, pulmonary valves; and L, left.

Footnotes

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1–267, Houston, TX 77030.