EuroPCR2025-images-A61973AG-When nothing goes left, go right

What do you see?
Anomalous left coronary artery from the pulmonary artery (ALCAPA)
An anomalous origin of left main coronary artery (LMCA) from right coronary artery
A retro-aortic circumflex artery
Correct! The correct answer is "An anomalous origin of left main coronary artery (LMCA) from right coronary artery".
 
Echo images show coronary anterior to the aorta. Angiography and CT images show anomalous origin of LMCA from the ostio-proximal part of RCA (RCA being CTO ) with sub-pulmonary course.
Good try! The correct answer is "An anomalous origin of left main coronary artery (LMCA) from right coronary artery".
 
Echo images show coronary anterior to the aorta. Angiography and CT images show anomalous origin of LMCA from the ostio-proximal part of RCA (RCA being CTO ) with sub-pulmonary course.
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