case_images: PMC5804374_01
case_images: Yellow arrow head pointing at the abnormal linear flow along the interventricular septum, suggestive of dilated left anterior descending artery.
case_images: CRIC2017-5832692.001.jpg
case_images: PMC5804374_01_CRIC2017-5832692.001.jpg
case_images: fig1
case_images: Coronary computed tomography angiogram (volume rendered image) demonstrates the anomalous origin of the right coronary artery (RCA) from the pulmonary trunk (white arrow).
case_images: CRIC2017-5832692.002.jpg
case_images: PMC5804374_01_CRIC2017-5832692.002.jpg
case_images: fig2
case_images: Multislice-gated coronary CT angiogram revealed an anomalous origin of an extremely dilated and tortuous appearing right coronary artery (RCA) from the pulmonary trunk (Figure 2).
case_images: Coronary computed tomography angiogram (volume rendered image) demonstrates another view of the anomalous origin of the right coronary artery (RCA) from the pulmonary trunk (white arrow).
case_images: CRIC2017-5832692.003.jpg
case_images: PMC5804374_01_CRIC2017-5832692.003.jpg
case_images: fig3
case_images: Subsequently, she underwent a repeat coronary CT angiogram which showed that the RCA was surgically implanted in the anterior ascending aorta (Figures 3 and 4) and had a nonobstructing bulky thrombus in its proximal segment (Figures 5 and 6).
case_images: Coronary computed tomography angiogram (volume-rendered image) obtained after her surgery points at the surgically implanted right coronary artery (RCA) in the anterior ascending aorta. There is a filling defect corresponding to a partially occlusive thrombus.
case_images: CRIC2017-5832692.004.jpg
case_images: PMC5804374_01_CRIC2017-5832692.004.jpg
case_images: fig4
case_images: Subsequently, she underwent a repeat coronary CT angiogram which showed that the RCA was surgically implanted in the anterior ascending aorta (Figures 3 and 4) and had a nonobstructing bulky thrombus in its proximal segment (Figures 5 and 6).
case_images: Cross-sectional view of the coronary CTA, after surgery, shows the filling defect in the implanted RCA consistent with partially occlusive thrombus.
case_images: CRIC2017-5832692.005.jpg
case_images: PMC5804374_01_CRIC2017-5832692.005.jpg
case_images: fig5
case_images: Subsequently, she underwent a repeat coronary CT angiogram which showed that the RCA was surgically implanted in the anterior ascending aorta (Figures 3 and 4) and had a nonobstructing bulky thrombus in its proximal segment (Figures 5 and 6).
case_images: Parasagittal view of the coronary CTA performed after the patient's surgery again demonstrates the partially occlusive thrombus in the implanted RCA as pointed by the arrow.
case_images: CRIC2017-5832692.006.jpg
case_images: PMC5804374_01_CRIC2017-5832692.006.jpg
case_images: fig6
case_images: Subsequently, she underwent a repeat coronary CT angiogram which showed that the RCA was surgically implanted in the anterior ascending aorta (Figures 3 and 4) and had a nonobstructing bulky thrombus in its proximal segment (Figures 5 and 6).