PMC5804374_01
Yellow arrow head pointing at the abnormal linear flow along the interventricular septum, suggestive of dilated left anterior descending artery.
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fig1
Coronary computed tomography angiogram (volume rendered image) demonstrates the anomalous origin of the right coronary artery (RCA) from the pulmonary trunk (white arrow).
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fig2
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).
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).
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fig3
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).
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.
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fig4
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).
Cross-sectional view of the coronary CTA, after surgery, shows the filling defect in the implanted RCA consistent with partially occlusive thrombus.
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fig5
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).
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.
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fig6
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).