January 2017 Br J Cardiol 2017;24:39–40 doi:10.5837/bjc.2017.004 Online First
Hasan Kadhim, Anita Radomski
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
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