PMC9619146_01
Anterior view of the 3-dimensional constructed computed tomography image of the heart (A) and axial view of the coronary computed tomography angiography (B) shows an anomalous origin of the left main coronary artery arising from the right coronary sinus; C (axial view) represents a malignant intra-arterial course between the aorta and main pulmonary artery with severe compression.
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The urgent coronary computed tomography angiography (CCTA) (Fig. 1) showed an anomalous origin of the LMCA arising from the RSV.
Selective coronary angiography of the left coronary artery revealing the 90% stenosis in left main coronary artery (A and B).
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It showed a malignant intra-arterial course between the aorta and main pulmonary artery with severe compression (90% stenosis) (Fig. 2).