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Coronary arteriovenous malformation presenting with acute myocardial infarction
  1. Choon Ta Ng,
  2. Aaron Wong,
  3. Foong-Koon Cheah,
  4. Chi Keong Ching
  1. National Heart Centre Singapore, Singapore, Singapore
  1. Correspondence to Dr Chi Keong Ching, National Heart Centre Singapore, 17 Third Hospital Avenue, Mistri Wing, Singapore 168752, Singapore; ching.chi.keong{at}

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A patient presented to the Emergency Department with sudden-onset chest tightness associated with diaphoresis and dyspnoea. Electrocardiogram revealed ST depression over the lateral leads and cardiac enzymes were elevated, consistent with Non-ST Elevation Myocardial Infarction.

Invasive coronary angiography showed a large left main coronary artery (LM) that was aneurysmal, with thrombus near the ostium of left circumflex artery (LCx) (figure 1, …

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