Absent left main coronary artery (LMCA) is a rare congenital cardiac malformation. We present a case report of a 65-year-old woman with anomalous origin of the left anterior descending (LAD) and circumflex (LCx) artery separated from the left sinus of Valsalva that was diagnosed by multi-detector row computed tomography (MDCT) coronary angiography. Our case indicates that MDCT plays an importan...

Congenital anomalies of the coronary arteries are the important causes of morbidity and mortality associated with chest pain or sudden death. This clinical and hemodynamic significance makes the study of variations by using noninvasive imaging modalities like Multi Detector Computed Tomography Coronary Angiography (MDCT CA) and Magnetic resonance imaging (MRI) for preoperative evaluation. In th...

Dear Editor, We read with interest the article of Chou et al. (1). The authors reviewed the multidetector computed tomography (CT) findings of congenital coronary sinus anomalies and reported two cases of coronary sinus anomaly. We would like to share our observations, with respect to coronary sinus anomalies, with our colleagues. For better clinical outcomes, coronary venous variations should ...

Background: The aim of this study was to assess the relationship between hypertension and aldosterone-renin ratio (ARR) with the severity of coronary artery disease (CAD). Methods: This cross-sectional study was performed on non-diabetic patients who were candidate for coronary angiography in Shafa hospital in Kerman in 2017. The levels of active renin and ald...

We report the case of an anomalous circumflex (Cx) origin from the right sinus of Valsalva with retroaortic course observed in a modified apical four-chamber view during transthoracic study (TTE). This finding is known as the "crossed aorta sign." Usually, the diagnosis of this congenital anomaly of coronary circulation is established during coronary angiography. In this case, the diagnosis was...

Background: Mechanisms and clinical manifestations of coronary artery complications after right ventricular outflow tract reconstruction surgery are not well known. Methods: Patients who had pulmonary valve replacement or the Rastelli procedure at a single tertiary centre were retrospectively analysed. Results: Coronary identified in 20 patients underwent surgery. The median age diagnosis compl...

Sudden cardiac arrest has been reported to occur in patients with congenital anomalous coronary artery disease. About 80% of the anomalies are benign and incidental findings at the time of catheterization. We present a case of sudden cardiac arrest caused by anomalous left anterior descending artery. 61-year-old African American female was brought to the emergency department after sudden cardia...

BACKGROUND Multidetector computed tomography coronary angiography (CTA) is a robust method for the noninvasive diagnosis of coronary artery disease. However, in its current form, CTA is limited in its prediction of myocardial ischemia. The purpose of this study was to test whether adenosine stress computed tomography myocardial perfusion imaging (CTP), when added to CTA, can predict perfusion a...

Congenital anomalies of the coronary arteries are a cause of sudden cardiac death. Of the known anatomic variants, anomalous origination of a coronary artery from an opposite sinus of Valsalva (ACAOS) remains a major clinical issue and a challenging condition to treat. Congenital coronary anomalies are likely to be under-recognized, as completing an anatomic assessment in a very large portion o...

Percutaneous coronary intervention in patients with an anomalous coronary artery is technically challenging. Selective cannulation and coaxial positioning in the anomalous artery and optimum stability during the procedure are pivotal for successful completion of the procedure. Selection of the appropriate guide catheter is of paramount importance in these situations. In patients with congenital...