PMC3114552_01
Patient no. 1: (a) Volume-rendered computed tomography shows the anomalous origin of the right coronary artery from the main pulmonary artery. (b) Full length of the dilated RCA. (c) Late postgadolinium CMR imaging demonstrates enhancement of the mid-interventricular septum (arrowhead) consistent with fibrosis. AO: aorta, LAD: left anterior descending coronary artery, LV: left ventricle, MPA: main pulmonary artery, RCA: right coronary artery, RV: right ventricle.
CRIM2011-642126.001.jpg
PMC3114552_01_CRIM2011-642126.001.jpg
fig1
CMR showed mid-myocardial enhancement of the interventricular septum consistent with fibrosis possibly due to chronic ischemia (Figure 1).
PMC3114552_02
Patient no. 2: (a) CMR angiogram demonstrating the anomalous origin of the right coronary artery from the main pulmonary artery. (b) Intraoperative photograph showing the direct reimplantation of the right coronary artery into the aorta. AO: aorta, LCA: left coronary artery, MPA: main pulmonary artery, RCA: right coronary artery, RV: right ventricle.
CRIM2011-642126.002.jpg
PMC3114552_02_CRIM2011-642126.002.jpg
fig2
The patient successfully underwent direct reimplantation of the anomalous RCA into the ascending aorta (Figure 2).