1. Department of Cardiology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; 2. Department of Radiology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Is
A 73-year-old man presented with one month of extensional chest pain. Physical examination, CXR, ECG and cardiac enzymes were all within normal limits. Thallium SPECT showed a moderate inferolateral and anterolateral reversible perfusion defect. Coronary angiography revealed a normal looking left main coronary artery (LMCA) leading only to small diagonal and septal branches (Moving image 1). The left anterior descending (LAD) artery and the circumflex (CX) artery each originate from a separate ostium from the right aortic sinus of Valsalva. The right coronary artery (RCA) had a normal independent origin (Moving image 2). A severe proximal narrowing of the proximal CX artery ...
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