A case of anomalous coronary artery origin: The role of computerised tomography.

OBJECTIVE: To illustrate the utility of CT coronary angiography in the assessment of patients with anomalous coronary arteries.

METHODS: A 65-year-old woman who presented with a clinical history of unstable angina was investigated with both computerised tomography and invasive coronary angiography.

RESULTS: Coronary angiography demonstrated aberrant coronary arteries all arising from separate ostia from the right coronary cusp. Computerised tomography coronary angiography was required to confirm the course of the aberrant coronary arteries in relation to other cardiovascular structures.

CONCLUSIONS: This case illustrates the important role of computerised tomography coronary angiography and that early use might avoid the need for invasive coronary angiography.