case_images: PMC11221453_01
case_images: CA showing right sinus of Valsalva white circle) with RCA (red arrow) supplying LCX territory and anomalous LAD (yellow arrow).
case_images: jchim-14-02-075f1.jpg
case_images: PMC11221453_01_jchim-14-02-075f1.jpg
case_images: f1-jchim-14-02-075
case_images: The distribution of the RCA was so extensive that it involved the LCX territory (Figs. 1 and 2).
case_images: CA showing the LCC (white arrow) without an orifice.
case_images: jchim-14-02-075f2.jpg
case_images: PMC11221453_01_jchim-14-02-075f2.jpg
case_images: f2-jchim-14-02-075
case_images: The distribution of the RCA was so extensive that it involved the LCX territory (Figs. 1 and 2).
case_images: (far right): CT heart 3-dimensional coronary with calcium revealed the LAD originating from the right sinus of Valsalva, 1.5 mm inferomedial to the RCA, passing anterior to the pulmonary artery (red arrow) to supply the left ventricle. Additionally, the LCX was absent, and a large dominant RCA (blue arrow) and a posterolateral branch supplied LCX territory along the lateral cardiac border (green arrow).
case_images: jchim-14-02-075f3.jpg
case_images: PMC11221453_01_jchim-14-02-075f3.jpg
case_images: f3-jchim-14-02-075
case_images: Given the absence of the LCX, its territory was supplied by a large dominant RCA with a posterolateral branch supplying the LCX territory along the lateral cardiac border (Fig. 3).