PMC6147966_01
Thallium SPECT scan long axis view showing stress-induced (upper panel) large inferior and infero-apical defect with reversibility during rest (lower panel).
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A stress MIBI SPECT scan was positive for large inferior reversible defect (Figure 1).
Left anterior oblique view using left Judkins catheter showing anomalous RCA from left coronary cusp and coursing between the pulmonary artery anterior and aorta posterior.
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Cardiac catheterization and coronary angiogram revealed an anomalous RCA origin from above the left coronary cusp (Figure 2), with its proximal segment between the aorta and pulmonary trunk and a normal course thereafter.
Post-operative thallium SPECT scan long axis view showing normal myocardial perfusion during both stress (upper panel) and rest (lower panel).
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A follow-up Stress MIBI SPECT scan (Figure 3) was normal and currently, she is leading a normal life.