Presentation
Chest pain, shortness of breath, and subjective palpitations.
Patient Data
The aortic valve is tricuspid.
Coronary Arteries: There is left coronary artery dominance
Coronary arteries are in normal positions and the main arteries have normal courses.
Left Main: Moderate size vessel with no significant stenosis or occlusions observed.
Left Anterior Descending: Large vessel with no atheroma appreciated
Left Circumflex: Moderate size with no atheroma appreciated
Right coronary Artery: Small caliber that is the non-dominant vessel
Non Coronary findings:
Possible small patent foramen ovale noted.
No pericardial effusion
No valve calcification
Great vessels unremarkable.
Chambers not enlarged.
Non-Cardiac Findings: Nil
Conclusion: No coronary stenosis or atheroma is appreciated. Coronary artery circulation follows a normal pattern with no anomalous circulation. Possible patent foramen ovale is appreciated.
Case Discussion
Example of a CT coronary angiogram with left coronary dominance no coronary artery findings although a suspected patent foramen ovale was confirmed on echocardiography.
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