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- Received February 2, 2010
- Revision received March 10, 2010
- Accepted March 18, 2010
- Published online October 12, 2010.
A 44-year-old man was admitted after a malaise accompanied by chest pain. Coronary angiography demonstrated a dilated left coronary artery with a connection to the right coronary artery (RCA) (A, Online Video 1). Transthoracic echocardiography demonstrated an abnormal biphasic flow in the left ventricular outflow tract (LVOT): systolic flow from the LVOT and diastolic flow toward the LVOT (B, Online Video 2). The origin of the RCA in the LVOT was visualized in computed tomography angiography (C, D)and in transthoracic echocardiography (E, Online Videos 3and 4). Further cardiac work-up was normal. This is the second report of an origin of the RCA in the LVOT in an adult patient (1).
- Received February 2, 2010.
- Revision received March 10, 2010.
- Accepted March 18, 2010.
- American College of Cardiology Foundation