Otro interesante caso compartido por Enrique Garcia-Sayan, MD, FACC, FASE (@EGarciaSayan).
What do you think is this structure noted incidentally by aortic valve in TEE❓ Long axis, SAX and 3D MPR #EchoFirst images shown. #FellowsFirst #accfit @ASE360 @DavidWienerMD @iamritu @purviparwani @onco_cardiology @NadeenFaza @kgzimmerman @LucySafi @DocStrom @AkhilNarangMD pic.twitter.com/E226im36FN
— Enrique Garcia-Sayan, MD, FACC, FASE (@EGarciaSayan) February 5, 2020
After some cropping 3D MPR reveals the course of this vascular structure. Fairly confident that it's an anomalous LCx arising from the right coronary cusp with retro-aortic course. Of course #YesCCT is ?to better characterize anomalous coronaries, but #EchoFirst made the Dx! pic.twitter.com/jD4CzpXdQw
— Enrique Garcia-Sayan, MD, FACC, FASE (@EGarciaSayan) February 5, 2020

