Echocardiographic diagnosis of anomalous origin of the left coronary artery from the pulmonary artery
a Drinkovi
malcelj
Clinical Hospital Center Zagreb, University Clinic of Cardiovascular Diseases, Ki
pati
eva 12, 10000 Zagreb, Croatia
Received 17 March 2006; accepted after revision 26 November 2006.
* Corresponding author. Tel: +385 12388482; fax: +385 12312247. E-mail address: eduard_margetic{at}yahoo.com
| Abstract |
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We found increased systolic coronary flow in transthoracic pulsed wave (PW) Doppler in a 42-year-old patient with anomalous origin of left main coronary artery from the pulmonary artery. This is a characteristic echocardiographic finding in this anomaly in the presence of collateral circulation and coronary L–R shunt. In comparison with so far used echocardiographic criteria this parameter when present allows quick recognition of anomalous origin of left coronary artery from the pulmonary artery, and its differentiation from other potentially lethal coronary anomalies.
Keywords: Coronary artery anomalies; Anomalous origin of left coronary artery; Echocardiography; Pulsed wave Doppler