Figure 1. Angiographic still (RAO cranial) demonstrating left anterior descending (LAD) draining to the right ventricle (RV)
Five months later, the patient reported continuing on/off episodes of minimal exertional shortness of breath and intermittent atypical chest pain. Echocardiogram and coronary angiography were arranged.
Echocardiograph showed a preserved left ventricular systolic function. Ejection fraction: 55% with mild anterior septal hypokinetic wall.
Coronary angiography: left main stem (LMS) and dominant left circumflex (LCx) were normal. The left anterior descending (LAD) artery was normal, however, the distal part appeared to dra