PMC5439251_01
RAO caudal view showing absent left circumflex (LCX) and long left main coronary artery.
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fig1
LAD and absence of LCX with super-dominant RCA (Figures 2 and 3 and video 1; see Supplementary Material available online at https://doi.org/10.1155/2017/8710135) and no obstructive lesion of the coronaries. Left ventriculography was normal with an ejection fraction of 55%.
LAO caudal view showing absent left circumflex (LCX).
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fig2
LAD and absence of LCX with super-dominant RCA (Figures 2 and 3 and video 1; see Supplementary Material available online at https://doi.org/10.1155/2017/8710135) and no obstructive lesion of the coronaries. Left ventriculography was normal with an ejection fraction of 55%.
AP cranial view showing dominant RCA supplying LCX territory.
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fig3
LAD and absence of LCX with super-dominant RCA (Figures 2 and 3 and video 1; see Supplementary Material available online at https://doi.org/10.1155/2017/8710135) and no obstructive lesion of the coronaries. Left ventriculography was normal with an ejection fraction of 55%.
Top view three-dimensional computed tomography scan showing single left anterior descending artery (arrow) and absence of LCX in the atrioventricular groove (arrow heads).
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fig4
CCTA was ordered to confirm the suspicion which revealed absence of left circumflex artery (Figure 4) and a right dominant circulation (Figure 5).
Inferior view three-dimensional computed tomography scan showing large dominant right coronary artery (arrow).
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fig5
CCTA was ordered to confirm the suspicion which revealed absence of left circumflex artery (Figure 4) and a right dominant circulation (Figure 5).