Anomalous origin of left main coronary artery: the value of myocardial scintigraphic and spiral computed tomography scans

Anomalous origin of the left main coronary artery (LMCA) from the right sinus of the Valsalva or the proximal right coronary artery (RCA) is one of the most clinically important anomalies of coronary circulation. We report the case of a patient with chest pain and abnormal thallium myocardial perfus...

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Bibliographic Details
Published in:Nuclear medicine review. Central & Eastern Europe 2006, Vol.9 (1), p.69-71
Main Authors: Cohenpour, Mehrzad, Tourovski, Arkadi, Zyssman, Itzhak, Friedensohn, Aharon, Gayer, Gabriela, Horne, Tifha
Format: Article
Language:English
Subjects:
Adult
Coronary Angiography
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - pathology
Coronary Vessels - pathology
Female
Humans
Myocardium - pathology
Perfusion
Radionuclide Imaging - methods
Thallium - pharmacology
Tomography, Emission-Computed, Single-Photon - methods
Tomography, Spiral Computed - methods
Tomography, X-Ray Computed - methods
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Summary:Anomalous origin of the left main coronary artery (LMCA) from the right sinus of the Valsalva or the proximal right coronary artery (RCA) is one of the most clinically important anomalies of coronary circulation. We report the case of a patient with chest pain and abnormal thallium myocardial perfusion scan in whom the anomaly was first detected on invasive coronary arteriography. The exact anatomic course of anomalous LMCA was confirmed using contrast enhanced computed tomography.
ISSN:1506-9680