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Figure 1. A–D. Echocardiographic and schematic view of the peculiar coronary pattern in newborn with d-transposition of the great arteries (see text for explanation). A newborn male with antenatal diagnosis of d-transposition of the great arteries and intact ventricular septum was referred to the documented unit. Echocardiography scan confirmed the diagnosis. The aorta was anterior and to the right of the pulmonary artery (Fig. 1A). As is routine, coronary anatomy was examined using a modified parasternal short axis view, rotating clockwise for the left coronary artery (LCA), and counterclockwise for the right coronary artery (RCA). A parasternal long axis view for displaying the RCA ostia from the posterior septal sinus was also performed. Bifurcation of the LCA and the proximal left anterior descending (LAD) was imaged using parasternal long axis view angled toward the left shoulder. In this case, the coronary pattern was extremely peculiar. A main LAD arose from the anterior facing sinus (Fig. 1A, Suppl. Movie Clip 1) with a well-visualized first diagonal branch. The RCA took off from the posterior facing sinus, giv-

A novel coronary pattern in newborn with d-transposition of the great arteries