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False positive retroaortic left circumflex coronary artery in a patient with atrial septal defect
Authors:Saurabh Kumar Gupta MD  DM  Anunay Gupta MD  DM  Sivasubramanian Ramakrishnan MD  DM  Shyam S Kothari MD  DM
Institution:Department of Cardiology, All Institute of Medical Sciences, New Delhi, India
Abstract:Retroaortic course of coronary artery is a relative contraindication for device closure of an atrial septal defect. In this brief report, we demonstrate, for the first time, inferior aortic recess mimicking retroaortic left circumflex coronary artery in a patient with atrial septal defect. This distinction is important to avoid spurious diagnosis of anomalous coronary artery denying patient a chance of nonsurgical closure of atrial septal defect.
Keywords:atrial septal defect  inferior aortic recess  retroaortic coronary artery  transesophageal echocardiography
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