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Table 2 Additional examples of coronary artery anomalies

From: Coronary artery anomalies and the role of echocardiography in pre-participation screening of athletes: a practical guide

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(modality)

Anatomy

Measurement ± explanatory note

Image

Parasternal short axis

(2D)

RCA origin

Prominent RCA origin in comparison to the origin of the LCA

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LCA origin

Small left coronary with bifurcation not visualised. Circumflex not visualised

  

Retro aortic course of circumflex identified on a modified SAX view

Modified apical view

(2D)

 

Retro aortic course identified on a modified apical view

Parasternal short axis

(2D)

Dual origin LCA

Dual origin of LAD and CX from the left sinus

Short axis modified views (2D)

Intramural RCA

RCA arising from left coronary sinus and following an intramural course

RCA and LCA arising from a single origin

CFM showing flow towards the probe as the RCA takes an intramural course, Flow also seen in the LCA