Interarterial Course Of Left Coronary Artery -

Interarterial or preaortic course of the left main coronary artery. A, Original axial cross-section. Arrows indicate the left main taking a path between the ascending aorta and pulmonary trunk. The arrowhead points at the right coronary artery. Ao indicates ascending aorta; PA, pulmonary artery. B,. An interarterial course of anomalous left main coronary artery originating from the right aortic coronary sinus of valsalva is a rare condition among anomalous aortic origin of the coronary artery. Various surgical options are available.

Apr 17, 2019 · Perspective: This study reports that anomalous left or right coronary artery arising from the wrong sinus of Valsalva with interarterial course was the most common anatomical variant followed by anomalous coronary artery arising from the pulmonary artery. May 18, 2017 · The coronary artery may pass between the aorta and the main pulmonary artery, representing a so-called interarterial course. It may be associated with a "slit-like" orifice in which an acute angle. It arises anterior and superior to the left main coronary artery with a slit-like orifice and an acute take-off angle from the aorta. It then has a short course between the pulmonary artery anteriorly and the aorta posteriorly Figures 1 & 2. There was no coronary artery plaque or stenosis.

Selective coronary angiography revealed normal left coronaries and an RCA originating from the left coronary cusp Figure 3, appearing to take an inter-arterial course between the pulmonary artery and the aorta with possible compression of the proximal segment. Abstract Purpose: Anomalous origin of the right coronary artery RCA with an interarterial course is a potentially life-threatening anomaly. Clinical significance could depend on its orifice and interarterial course. We evaluated the anomalous RCA on multidetector row computed tomography MDCT with clinical correlation.

arterial course of a coronary artery—LCA, RCA, or left anterior descending coronary artery LAD we are not aware of a de-scription of anomalous origin of the circum-flex branch taking an interarterial course, although the intraseptal course has been described—the prognosis of an intraseptal course is less certain. There are two case. Anomalous origin of the left main coronary artery ALMCA When not seen coming from the left coronary sinus, the LM may originate from the right coronary sinus and will take 1 of 4 pathways to the LV Figure 4: 1 the septal course, 2 the anterior course, 3 the retroaortic course, and 4 the interarterial course between aorta and pulmonary artery. The artery then had an interarterial course between aorta and pulmonary trunk for 1.7 cm followed by an intramural course for 3.3 cm in the interventricular septum and then exited the myocardium for an epicardial course at the level of mid LAD. The intramural caliber measured 2.2 mm in cross section. This prompted the need for a coronary angiography and CCTA, which clearly demonstrated the anomalous origin of the RCA as it left the opposite sinus and took an interarterial course between the aorta and pulmonary artery.

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