case_images: PMC6083481_01
case_images: Diagnostic angiogram: left anterior oblique/cranial view demonstrating the LAD and diagonal branches.
case_images: CRIC2018-8634275.001.jpg
case_images: PMC6083481_01_CRIC2018-8634275.001.jpg
case_images: fig1
case_images: It gives off a large diagonal branch with mild diffuse disease (Figure 1).
case_images: (a) Diagnostic angiogram in left anterior oblique/caudal view; (b) right anterior oblique/caudal view demonstrating the LAD ramus branch with moderate disease and diminutive circumflex branches (arrow).
case_images: CRIC2018-8634275.002.jpg
case_images: PMC6083481_01_CRIC2018-8634275.002.jpg
case_images: fig2
case_images: Right coronary artery with collaterals to the circumflex artery.
case_images: CRIC2018-8634275.003.jpg
case_images: PMC6083481_01_CRIC2018-8634275.003.jpg
case_images: fig3
case_images: The A-V circumflex turns at an acute angle away from the left main artery (Figure 3) (video file 1).
case_images: Dual angiogram demonstrating the different plane of origin of the circumflex artery.
case_images: CRIC2018-8634275.004.jpg
case_images: PMC6083481_01_CRIC2018-8634275.004.jpg
case_images: fig4
case_images: Dual angiogram demonstrating the course of the circumflex artery in a plane different from the left main artery:guide catheters in the right coronary artery and left main coronary artery in left anterior oblique/caudal view.
case_images: CRIC2018-8634275.005.jpg
case_images: PMC6083481_01_CRIC2018-8634275.005.jpg
case_images: fig5
case_images: Dual angiogram with guide catheters in the right coronary artery and the anomalous origin of the circumflex artery.
case_images: CRIC2018-8634275.006.jpg
case_images: PMC6083481_01_CRIC2018-8634275.006.jpg
case_images: fig6
case_images: The patient did not have CTO of the circumflex but instead had severe stenosis of his anomalous circumflex (Figure 6).
case_images: Final angiographic result after PCI of the anomalous circumflex artery.
case_images: CRIC2018-8634275.007.jpg
case_images: PMC6083481_01_CRIC2018-8634275.007.jpg
case_images: fig7