case_images: PMC8356929_01
case_images: coronary angiography images showing: left main artery not visualised in the left sinus (panel A); left anterior descending artery connected to right sinus (panel B); circumflex artery connected to right coronary artery (panel C); very tight stenosis of the right middle coronary artery (panel D); drug eluting stent positioned at the level of the right middle coronary artery (panel E); final result after angioplasty (panel F)
case_images: PAMJ-39-45-g001.jpg
case_images: PMC8356929_01_PAMJ-39-45-g001.jpg
case_images: F1
case_images: An urgent transradial coronary angiography was then realized objectifying empty left sinus and an ectopic left anterior descending artery connected to the rights sinus and circumflex artery connected to the right coronary artery; the injection of the right coronary artery showed a severe stenosis on its middle segment (Figure 1).
case_images: coronary computed tomography scan with 3D reconstruction showing: ectopic left anterior descending artery (black arrow) connected to the right sinus with a prepulmonary course (panel A and B); ectopic circumflex artery (black arrow) connected to the right coronary artery with a retroaortic course (Panel C and D), non ectopic right coronary artery with a permeable stent (Panel E and F)
case_images: PAMJ-39-45-g002.jpg
case_images: PMC8356929_01_PAMJ-39-45-g002.jpg
case_images: F2
case_images: The patient had a coronary computed tomography that showed an ectopic left anterior descending artery connected to the right sinus above the right coronary artery with a pre-pulmonary course, an ectopic circumflex artery connected to the proximal right coronary artery with a retro aortic course and a non-ectopic right coronary artery with a permeable stent (Figure 2).