Case 13 — Coronary Artery Echocardiograms

Transthoracic echocardiogram showing one large coronary ostium (arrow). No other ostia could be identified. The ostium is abnormally positioned but appears to originate from the right coronary sinus.
Transthoracic echocardiogram showing one large coronary ostium (arrow), abnormally positioned, appearing to originate from the right coronary sinus.
Transesophageal echocardiogram of the dilated main pulmonary artery (PA) showing a coronary artery coursing around the PA. The vessel could be traced back to its origin at the aorta where there appeared to be only one ostium. The vessel appears to course behind the PA, between it and the aorta.
Transesophageal echocardiogram. A coronary artery courses around the dilated PA, appearing to pass between the PA and aorta.
Transesophageal echocardiogram showing the coronary vessel appearing to divide at this point.
The coronary vessel appears to divide at this point.