Fig. 1A—MDCT angiography images in 67-year-old woman with acute
coronary syndrome. Volume-rendered image shows interarterial course of
proximal right coronary artery (RCA) arising from left coronary sinus.
Fig. 1B—MDCT angiography images in 67-year-old woman with acute
coronary syndrome. Caudal projection of volume-rendered image emphasizes
interarterial or malignant course of anomalous RCA (arrow).
Fig. 2A—MDCT angiography images in 48-year-old man with incidentally
noted myocardial bridge that was thought not to be symptomatic. Curved
multiplanar reformation shows long segment of myocardial bridging
(arrow) of mid left anterior descending artery (LAD).
Fig. 2B—MDCT angiography images in 48-year-old man with incidentally
noted myocardial bridge that was thought not to be symptomatic. Axial image
shows intramyocardial course of mid LAD (arrow).
Fig. 3A—MDCT angiography images in 54-year-old woman with episode of
chest pain and syncope. Volume-rendered images show coronary artery fistula
from left circumflex artery to coronary sinus (arrows).
Fig. 3B—MDCT angiography images in 54-year-old woman with episode of
chest pain and syncope. Volume-rendered images show coronary artery fistula
from left circumflex artery to coronary sinus (arrows).
Fig. 4—29-year-old man with repaired tetralogy of Fallot. Axial MDCT
angiography image reveals retroaortic course of proximal left main coronary
artery arising from right coronary sinus. Accessory left anterior descending
artery is arising from left cusp as well (arrow).
Fig. 5—58-year-old man with incidentally noted anomalous left
circumflex artery (LCX). Curved multiplanar reformation of MDCT angiography
image shows retroaortic course of proximal LCX arising from right coronary
sinus (arrow). CIRC = circumflex artery.
Fig. 6A—MDCT angiography images in 43-year-old man with incidentally
noted anomalous origin of left circumflex artery (LCX). Curved multiplanar
reformation (A) and coronal oblique (B) images show subpulmonic
course of proximal LCX arising from right coronary sinus
(arrows).
Fig. 6B—MDCT angiography images in 43-year-old man with incidentally
noted anomalous origin of left circumflex artery (LCX). Curved multiplanar
reformation (A) and coronal oblique (B) images show subpulmonic
course of proximal LCX arising from right coronary sinus
(arrows).
Fig. 7A—MDCT angiography images in 24-year-old man with congenital
aortic stenosis. Curved multiplanar reformations reveal small saccular
aneurysm arising from proximal left main artery (arrows).
Fig. 7B—MDCT angiography images in 24-year-old man with congenital
aortic stenosis. Curved multiplanar reformations reveal small saccular
aneurysm arising from proximal left main artery (arrows).
Fig. 8A—MDCT angiography images in 19-year-old man with history of
Kawasaki's disease. Volume-rendered images show giant diffuse aneurysms of
right and left coronary arteries.
Fig. 8B—MDCT angiography images in 19-year-old man with history of
Kawasaki's disease. Volume-rendered images show giant diffuse aneurysms of
right and left coronary arteries.
Fig. 9A—MDCT angiography images in 25-year-old man who awoke with
chest pain. Curved multiplanar reformations reveal spontaneous left anterior
descending artery (LAD) dissection presenting as eccentric stenosis of mid LAD
(arrows).
Fig. 9B—MDCT angiography images in 25-year-old man who awoke with
chest pain. Curved multiplanar reformations reveal spontaneous left anterior
descending artery (LAD) dissection presenting as eccentric stenosis of mid LAD
(arrows).
Fig. 10A—MDCT angiography images in 44-year-old woman with acute
monocytic leukemia and left atrial thrombus. Volume-rendered image shows left
atrial mass (arrow) without calcifications. Inset shows plane of
reconstruction.
Fig. 10B—MDCT angiography images in 44-year-old woman with acute
monocytic leukemia and left atrial thrombus. Axial image shows that left
atrial mass (arrow) is contiguous with atrial septum.
Fig. 11B—MDCT angiography images in 43-year-old man with calcified
right atrial myxoma. Sagittal reconstruction shows calcified right atrial mass
(arrow).
Fig. 12—22-year-old woman with hypoxia. Coronal short-axis
reconstruction of MDCT angiography image shows high membranous ventral septal
defect (arrow) and right ventricular hypertrophy.
Fig. 13A—MDCT angiography images in 31-year-old man with heart murmur.
Maximum-intensity-projection (A) and axial (B) images show
noncalcified bicuspid aortic valve with poststenotic dilation of ascending
thoracic aorta (arrows). Note minimal left ventricular
hypertrophy.
Fig. 13B—MDCT angiography images in 31-year-old man with heart murmur.
Maximum-intensity-projection (A) and axial (B) images show
noncalcified bicuspid aortic valve with poststenotic dilation of ascending
thoracic aorta (arrows). Note minimal left ventricular
hypertrophy.
Fig. 14A—MDCT angiography images in 59-year-old woman with patent
ductus arteriosus (PDA) and Eisenmenger's syndrome. Axial (A) and
sagittal (B) oblique reconstructions show PDA (arrows) and
enlarged main pulmonary artery. Contrast dilution is evidence for jet from
PDA.
Fig. 14B—MDCT angiography images in 59-year-old woman with patent
ductus arteriosus (PDA) and Eisenmenger's syndrome. Axial (A) and
sagittal (B) oblique reconstructions show PDA (arrows) and
enlarged main pulmonary artery. Contrast dilution is evidence for jet from
PDA.
Fig. 16A—MDCT angiography images in 39-year-old man with repaired
transposition of great vessels after Mustard-Senning procedure. Axial image
shows portion of left atrium isolated by atrial baffle placed during
Mustard-Senning procedure (arrow).
Fig. 16B—MDCT angiography images in 39-year-old man with repaired
transposition of great vessels after Mustard-Senning procedure. Coronal image
shows aorta arising from anterior right ventricle (arrow).
Fig. 16C—MDCT angiography images in 39-year-old man with repaired
transposition of great vessels after Mustard-Senning procedure. Coronal image
reveals contrast-enhanced superior vena cava (arrow) and nonenhancing
inferior vena cava (arrow) flow into left atrium and subsequently
into left ventricle as result of a baffle procedure.
Fig. 17B—MDCT angiography images in 29-year-old woman with repaired
truncus arteriosus. Axial images show main pulmonary artery (arrows)
anterior to aorta.
Fig. 17C—MDCT angiography images in 29-year-old woman with repaired
truncus arteriosus. Axial images show main pulmonary artery (arrows)
anterior to aorta.
Fig. 18A—MDCT angiography images in 60-year-old man with history of
coronary artery bypass grafting who presented with large mediastinal mass.
Sagittal (A) and volume-rendered (B) images reveal giant
thrombosed saphenous vein graft pseudoaneurysm (arrows). LIMA = left
internal mammary artery.
Fig. 18B—MDCT angiography images in 60-year-old man with history of
coronary artery bypass grafting who presented with large mediastinal mass.
Sagittal (A) and volume-rendered (B) images reveal giant
thrombosed saphenous vein graft pseudoaneurysm (arrows). LIMA = left
internal mammary artery.
Fig. 19—74-year-old man after mitral valve replacement. Axial MDCT
angiography image reveals atrioventricular communication between left atrium
and left ventricle (arrow).