PMC5347413_01
Coronary angiography. Images were obtained using a 7 French multi-purpose diagnostic coronary catheter with power injection. (a) Right anterior oblique image: early after injection demonstrating the RCA ectasia and collaterals to the left anterior descending (LAD) and circumflex arteries. (b) Left anterior oblique image: demonstrating the prominent septal and posterior descending artery to LAD collaterals and (c) a late image demonstrating filling of the PA via prominent left to right shunt. (d) Direct injection of the LCA via a right heart catheterization with an Amplatzer left 2 diagnostic catheter in the PA.
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PMC5347413_01_10.1177_2050313X17695719-fig1.jpg
fig1-2050313X17695719
Coronary angiography (Figure 1) was undertaken with RCA ectasia and inability to identify the LCA with standard techniques.