Multiple Choice Question of the Week : Echo-01 : [Answer]


A 50-year-old woman performs a transthoracic echocardiogram for atypical chest pain.

How do you interpret this apical 4-chamber view?
A) Global left ventricular dysfunction
B) Normal apical 4-chamber view
C) Congenital anomaly of the coronary artery
D) Presence of artifacts

Right answer is: C) congenital anomaly of the coronary artery

In this view we can notice the typical RAC (retroaortic anomalous coronary) sign, typically associated with an anomalous retroaortic course of the left coronary artery.
Specifically, this sign is associated with an anomalous origin of the circumflex coronary artery from the right sinus of Valsalva.

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