Circumflex Origin from Right Coronary Artery—The Anomaly That Should Not Be Omitted during Echocardiography—”Crossed Aorta” and “Bleb Sign” Presentation after Stents Implantation

Abstract

Mini‐AbstractSimultaneously with the development of echocardiography its potential in the assessment of coronary arteries increases. We reported previously that the anomalous circumflex (Cx) originating from right coronary artery (RCA) with retroaortic course may be observed in transesophageal examination (TEE) as vessel cross section in the mitroaortic angle—”bleb sign” or visualized in modified apical four‐chamber view behind left atrium during transthoracic study (TTE). In present case, we propose novel finding indicating on this anomaly in apical five‐chamber view in TTE forming “crossed aorta” sign. Additionally, the presence of stents in Cx enhanced echocardiographic presentation of anomalous artery course.