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Anomalous Left Coronary Artery in Hypertrophic Cardiomyopathy

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Presentation on theme: "Anomalous Left Coronary Artery in Hypertrophic Cardiomyopathy"— Presentation transcript:

1 Anomalous Left Coronary Artery in Hypertrophic Cardiomyopathy
Oana-Maria Penciu, MD, Hamid Mojibian, MD, Lissa Sugeng, MD, MPH, Michael Cleman, MD, Joseph Brennan, MD, Eugene DePasquale, MD, William McKenna, MD, Pramod Bonde, MD, Daniel Jacoby, MD  The Annals of Thoracic Surgery  Volume 97, Issue 6, Pages (June 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Electrocardiogram shows sinus rhythm, left anterior fascicular block, evidence of left atrial enlargement, and T wave inversion in lead V2 and aVL. Q waves were also noted in precordial leads V1 to V3. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 A cardiac magnetic resonance image in the short-axis view shows asymmetric thickening of the midventricular septal wall. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 A cardiac magnetic resonance image in the short-axis view, after administration of gadolinium, shows patchy myocardial delayed gadolinium enhancement throughout the septum, especially in the base and midventricle, suggestive of fibrosis. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 A coronary artery angiogram demonstrated a single coronary artery arising from the right sinus of Valsalva. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 A coronary artery computed tomography angiogram shows no left coronary artery arising from the left aortic sinus. The left coronary artery arises from the right sinus of Valsalva, along with the right coronary artery from a common ostium. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 A coronary artery computed tomography angiogram shows the initial course of the right circumflex artery and the left anterior descending artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 The myocardium excised during the operation to free the obstruction weighed almost 20 g. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 Determinants of surgical vs catheter therapies for septal reduction. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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