Figure 3: Two-dimensional echocardiography images showing: (A) left coronary artery (LCA) arising from pulmonary artery (PA) (arrow, upper left). (B) Anomalous diastolic color flow of collaterals (upper right). (C) Reduced global longitudinal strain at apex and apical septum (lower left). (D) A dilated right coronary artery (RCA) is seen in aortic short-axis view (arrow, lower right). [Ao = Aorta; RVOT = Right ventricular outflow tract].