case_images: PMC3877606_01
case_images: Cardiac computed tomography showing anomalous left main off of the right sinus of Valsalva and subsequent intraseptal course.
case_images: CRIM.VASMED2013-380952.001.jpg
case_images: PMC3877606_01_CRIM.VASMED2013-380952.001.jpg
case_images: fig1
case_images: CT angiogram for assessment of coronary anatomy. Cardiac CT revealed no significant coronary artery disease but did show a left main coronary artery with an anomalous origin off of the right sinus of Valsalva with subsequent intraseptal course (Figure 1).
case_images: Left anterior oblique view of left main coronary artery with an anomalous origin off the right sinus of Valsalva with intraseptal course.
case_images: CRIM.VASMED2013-380952.002.jpg
case_images: PMC3877606_01_CRIM.VASMED2013-380952.002.jpg
case_images: fig2
case_images: Invasive coronary angiography (Figure 2) was completed with normal fractional flow reserve measurements in the proximal left anterior descending with adenosine infusion.
case_images: PMC3877606_02
case_images: Right anterior oblique-cranial view of left main coronary artery with an anomalous origin off the right sinus of Valsalva with interarterial course.
case_images: CRIM.VASMED2013-380952.003.jpg
case_images: PMC3877606_02_CRIM.VASMED2013-380952.003.jpg
case_images: fig3
case_images: The patient underwent invasive coronary angiography (Figure 3) showing no significant coronary artery disease and a left main coronary artery with an anomalous takeoff from the right coronary cusp.
case_images: Cardiac computed tomography images of anomalous left main coronary artery off of the right sinus of Valsalva with a course between the pulmonary artery (PA) and aorta (AO).
case_images: CRIM.VASMED2013-380952.004.jpg
case_images: PMC3877606_02_CRIM.VASMED2013-380952.004.jpg
case_images: fig4
case_images: CT was completed. Cardiac CT showed the left main to have an anomalous takeoff from the right coronary cusp with a course between the great vessels (Figures 4 and 5).
case_images: Three dimensional reconstruction exhibiting the interarterial course of the left main coronary artery as presented in Case 2.
case_images: CRIM.VASMED2013-380952.005.jpg
case_images: PMC3877606_02_CRIM.VASMED2013-380952.005.jpg
case_images: fig5
case_images: CT was completed. Cardiac CT showed the left main to have an anomalous takeoff from the right coronary cusp with a course between the great vessels (Figures 4 and 5).
case_images: PMC3877606_03
case_images: Cardiac computed tomography and three dimensional reconstruction showing an anomalous left main coronary artery (LMCA) off of the right sinus of Valsalva assuming a posterior course around the aorta (AO).
case_images: CRIM.VASMED2013-380952.006.jpg
case_images: PMC3877606_03_CRIM.VASMED2013-380952.006.jpg
case_images: fig6
case_images: The left main coronary artery (LMCA) was seen to take a posterior course behind the ascending aorta before bifurcating into the left anterior descending and left circumflex arteries (Figure 6).