Document Detail

Anomalous origin of the left main coronary artery misdiagnosed by coronary angiography and correctly detected with multidetector computed tomography.
MedLine Citation:
PMID:  20093952     Owner:  NLM     Status:  MEDLINE    
We describe a case of a very anomalous origin of the left main coronary artery, misdiagnosed as occluded at previous invasive coronary angiography. Multidetector computed tomography coronary angiography demonstrated the vessel to be patent, with an anomalous origin from the commissural region between the right sinus of Valsalva and posterior sinus of Valsalva. A large coronary fistula between proximal left anterior descending coronary artery and the right sinus of Valsalva was also demonstrated. This is an example of the additional clinical role of multidetector computed tomography coronary angiography in comparison to conventional coronary angiography in this clinical field.
Daniele Andreini; Gianluca Pontone; Saima Mushtaq; Mauro Pepi; Antonio Bartorelli
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  848-9     Citation Subset:  IM    
Centro Cardiologico Monzino, Department of Cardiovascular Sciences, IRCCS, University of Milan, Milan, Italy.
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MeSH Terms
Arteriovenous Fistula / radiography*
Coronary Angiography*
Coronary Occlusion / radiography*
Coronary Vessel Anomalies / radiography*
Diagnostic Errors*
Middle Aged
Predictive Value of Tests
Sinus of Valsalva / abnormalities,  radiography*
Tomography, X-Ray Computed*

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