Sy. Hsu et al., MULTIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN DIAGNOSIS OF ANOMALOUSORIGIN OF THE LEFT CORONARY-ARTERY FROM THE PULMONARY-ARTERY - A CASE-REPORT, Journal of the American Society of Echocardiography, 11(6), 1998, pp. 668-672
Anomalous origin of the left coronary artery from the pulmonary artery
in adults is difficult to identify reliably by transthoracic echocard
iography (TTE). We describe a 32-year-old woman with this coronary ano
maly mimicking a coronary artery fistula on conventional TTE study. Th
is anomaly was suggested by multiplane transesophageal echocardiograph
y (TEE) and subsequently confirmed by coronary angiography. Multiplane
TEE thus may serve as a first-line diagnostic tool for detecting anom
alous origin of coronary arteries.