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Case Reports in Cardiology
Volume 2017 (2017), Article ID 9249821, 3 pages
https://doi.org/10.1155/2017/9249821
Case Report

Detection of the “Crossed Aorta Sign” during Echocardiography before Angiography

1Division of Cardiology, Department of Internal Medicine, University of Genoa, 6 Viale Benedetto XV, 16132 Genoa, Italy
2Division of Cardiology, IRCCS AOU San Martino-IST, 10 Largo Benzi, 16132 Genoa, Italy
3First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, 6 Viale Benedetto XV, 16132 Genoa, Italy
4Ospedale Policlinico San Martino, 10 Largo Benzi, 16132 Genoa, Italy
5Centre of Excellence for Biomedical Research (CEBR), University of Genoa, 9 Viale Benedetto XV, 16132 Genoa, Italy

Correspondence should be addressed to Fabrizio Montecucco; ti.eginu@occucetnom.oizirbaf

Received 21 July 2017; Accepted 8 November 2017; Published 14 December 2017

Academic Editor: Aiden Abidov

Copyright © 2017 Laura Massobrio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the case of an anomalous circumflex (Cx) origin from the right sinus of Valsalva with retroaortic course observed in a modified apical four-chamber view during transthoracic study (TTE). This finding is known as the “crossed aorta sign.” Usually, the diagnosis of this congenital anomaly of coronary circulation is established during coronary angiography. In this case, the diagnosis was performed by echocardiography before angiography. We believe that recent improvements in echocardiography increase the potential of this imaging technology also in the diagnosis of coronary artery anomalies.