PMC2710446_01
Electrocardiogram (ECG) showing D2-D3-aVF-V5 and V6 ST- segment elevation.
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The initial electrocardiogram (ECG) showed a normal sinus rhythm (77/minute) and a 2-3 mm ST segment elevation at DII, DIII, aVF, V5 and V6 derivations with reciprocal ST segment depression at DI, aVL, V1 and V2 derivations (Figure 1).
Coronary angiography from the left lateral view, not showing the circumflex artery.
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No obvious LCX was demonstrated, even after taking repeated coronary angiograms With several different views (Figure 2).
Anomalous circumflex arising from the right coronary artery.
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The LCX originated from the proximal part of the RCA (Figure 3).