Echocardiography in Pediatric and Congenital Heart Disease

Second Edition

Edited by: Wyman W. Lai, Luc L. Mertens, Meryl S. Cohen, Tal Geva

Echocardiography in Pediatric and Congenital Heart Disease Second Edition Book Cover

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Video 30.9 Anomalous aortic origin of the right coronary artery from the left sinus of Valsalva

Anomalous aortic origin of the right coronary artery from the left sinus of Valsalva. Transesophageal echocardiogram from behind the base of the heart in a patient with anomalous aortic origin of the right coronary artery from the left sinus of Valsalva. Imaging begins in the short-axis of the aortic valve. The intramural and interarterial course of the right coronary artery is demonstrated, and color Doppler shows prograde flow into this segment of the right coronary artery. The relationship of the origin of the right coronary artery to the intercoronary commissure is not demonstrated in this plane. This is because the origin is high; it is just at the sinotubular junction, as is illustrated in the next segment of the clip, which depicts a longitudinal view of the aortic sinuses and ascending aorta.

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