Left ventricular false tendon in a patient with coarctation of aorta

Correspondence to Dr Sanjeev Kumar; sanjeevradio@gmail.com Description A boy of preschool age, with a suspicion of aortic arch abnormality on transthoracic echocardiography, underwent CT angiography for detailed evaluation of cardiovascular morphology. The presence of these bands, when incidentally detected on imaging in a patient with a structural heart disease planned for repair, should be communicated to the surgeons as these bands may harbour conducting system or vascular branches within them. Left ventricular false tendons can be a source of premature ventricular contractions and pre-excitation as they may contain varying amounts of myocardial tissue, fibrous tissue and blood vessels.