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Anomalous origin of the left main coronary artery from the right coronary sinus
  1. Ian Paul,
  2. Harry Parissis
  1. Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK
  1. Correspondence to Dr Ian Paul, Department of Cardiothoracic Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK; ian.paul{at}talk21.com

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A 62-year-old gentleman was referred for coronary surgical revascularisation due to increasing symptoms of angina pectoris. Preoperative coronary angiography showed the left main coronary artery (LMCA) arising adjacent to the right coronary from the right coronary sinus (figure 1). The left anterior descending artery coursed at 90°s to the LMCA with the circumflex artery a continuation of the …

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