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A 39-year-old cardiologist with no cardiovascular risk factors presented with a 6-month history of exertional chest pain. A stress echocardiogram was negative at a high workload, and she subsequently underwent 320-slice coronary CT for persistent symptoms. This revealed an anomalous right coronary artery (RCA) originating from the left aortic sinus. The course of the proximal RCA was anterior to the aorta and posterior to the right ventricular …
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