01 September 2021>: Articles
Challenging differential diagnosis, Congenital defects / diseasesMariana S. de A. Chaud A , Camila A. Agostinho A , Felipe L. Malafaia A , Márcio C. Sampaio B , Paulo Chaccur A , Pedro Gabriel Melo de Barros e Silva C , Expedito E. Ribeiro A , José Carlos Teixeira Garcia C , Valter Furlan C , Henrique B. Ribeiro A*
Am J Case Rep 2021; 22:e931561
Figure 3. (A) Volume-rendered image from the coronary computed tomography angiography (CCTA) showed the abnormal origin of the left main coronary artery (LMCA) from the right coronary artery (RCA). It also showed the interarterial course of the LMCA between the ascending aorta and the pulmonary trunk (PT), originating from the left circumflex (LCX) and the ramus intermedius (RI). (B) Multiplanar reformation oblique reconstructions showed the anomalous origin of the left anterior descending artery (LAD) from the posterior descending artery (PDA). (C) Multiplanar reformation oblique reconstructions showed the malignant trajectory of the LMCA between the ascending aorta and the pulmonary trunk, associated with an intramyocardial pathway, originating from the RI.