case_images: PMC10823319_01
case_images: Chest X-ray of the patient shows a cardiomegaly with no lung congestion.
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case_images: The chest x-ray showed cardiomegaly, with a cardiothoracic ratio of 62.5%, and bilateral costophrenic angles were sharp with no congestion (Fig. 1).
case_images: ECG of the patient demonstrating a heart rate of 69 bpm, a normal sinus rhythm, with no significant ST shift.
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case_images: The electrocardiography (ECG) showed a heart rate of 69 beats per minute, a normal sinus rhythm, an axis of +50, a PQ of 0.16 s, a QRS of 0.08 s, a QT/QTc of 0.36/0.36 s, and no significant ST segment shift was noted (Fig. 2).
case_images: Transthoracic echocardiography with doppler study demonstrating, ectopic opening of the coronary artery and blood-stealing phenomenon at the pulmonary artery.
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case_images: On day three of admission, transthoracic echocardiography revealed an ectopic opening of the coronary artery, a blood-stealing phenomenon at the pulmonary artery, and abnormal coronary circulation (Fig. 3), as well as pulsed color doppler confirming abnormal flow within the pulmonary artery.
case_images: Pulsed-wave doppler echocardiography confirmed the left coronary wave pattern which peaked during diastole. These echocardiographic findings suggested BWGS.
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case_images: Pulsed-wave doppler showed a left coronary wave pattern (Fig. 4).
case_images: Chest CT scan of the patient showing anomalous origin of the left coronary artery from the pulmonary artery along with an aneurysm of the LCA.
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case_images: CT scan of the patient revealed the origin of the left coronary artery from the pulmonary artery, along with an aneurysm of the LCA (Fig. 5). Coronary angiography showed an aneurysm or dilatation of the left coronary artery (Fig. 6).
case_images: Coronary angiography demonstrating an aneurysm of the left coronary artery with huge collaterals from RCA to LCA.
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case_images: CT scan of the patient revealed the origin of the left coronary artery from the pulmonary artery, along with an aneurysm of the LCA (Fig. 5). Coronary angiography showed an aneurysm or dilatation of the left coronary artery (Fig. 6).