Three-dimensional reconstruction of computed tomographic images of anomalous origin of the left main coronary artery from the pulmonary trunk in an adult

We present a 49-year-old female case of anomalous origin of the left main coronary artery from the pulmonary trunk. Multidetector computed tomography was performed, and 3-dimensional reconstruction of computed tomographic images found that the left main coronary. artery originated from left sinus of the pulmonary trunk and the eight coronary artery from the right coronary cusp of the aorta. We speculate that this patient's long life may be due to the dominant eight coronary artery and rich collateral from the right coronary artery to the left coronary artery. (C) 2003 by Excerpta Medica, Inc.