EuroPCR2026-images-93860-artery-denied-origin

What is the most likely explanation for the patient's presentation?

Transient coronary spasm with spontaneous reperfusion

Occlusion of an accessory LAD from the left sinus in dual LAD anatomy

Stress-induced cardiomyopathy with pseudo-ischemic ECG changes

Correct! The correct answer is "Occlusion of an accessory LAD from the left sinus in dual LAD anatomy".

Three coronaries originated from the right sinus; an obstructed accessory LAD from the left sinus was stented to TIMI-3. CT confirmed rare Type X dual LAD.

Good try! The correct answer is "Occlusion of an accessory LAD from the left sinus in dual LAD anatomy".

Three coronaries originated from the right sinus; an obstructed accessory LAD from the left sinus was stented to TIMI-3. CT confirmed rare Type X dual LAD.

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