• Normal appearing proximal left coronary artery
  • The left coronary artery is seen bifurcating normally into the left anterior descending and left circumflex coronary artery
  • The left anterior descending and proximal circumflex coronary arteries appear of normal caliber
  • No evidence of coronary artery dilation or aneurysms

Normal laminar flow in the proximal left coronary artery and left anterior descending coronary artery (red flow seen in vessel during diastole)

  • Normal laminar flow in the proximal left coronary artery and left anterior descending coronary artery (red flow during diastole)
  • Normal laminar flow in the proximal circumflex coronary artery (blue flow during diastole)

Still frame of the left main coronary artery, left anterior descending coronary artery and proximal circumflex coronary artery

This view obtained from a parasternal short axis view is one of the ideal views for profiling the origin, caliber and course of the left coronary artery.

  • Transducer placed at left sternal border
  • 3rd or 4th intercostal space
  • Notch pointed towards patient's left shoulder (1-2 o'clock)
  • Probe in neutral position 
  • Anomalous coronary artery
    • Anomalous left coronary artery from the pulmonary artery (ALCAPA)
    • Anomalous left coronary artery from the right coronary artery 
  • Coronary artery diltion or aneurysm