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Figure 1 | BMC Cardiovascular Disorders

Figure 1

From: A case report of type VI dual left anterior descending coronary artery anomaly presenting with non-ST-segment elevation myocardial infarction

Figure 1

Coronary angiography and percutaneous coronary intervention. A) Short LAD (long black arrow) originating from the LMCA, giving rise to the D1 (short black arrow). There is significant stenosis in the proximal portion of the short LAD and the proximal portion of the D1. (B) Long LAD (long white arrow) originating from the proximal RCA, coursing left, then turning downwards to the apex, giving rise to the D2 (long white arrow). There is significant stenosis of the distal RCA, the proximal PDA, the mid portion of the long LAD and the proximal portion of the D2. (C) Deep engagement (arrowhead) with a 6 Fr MP guiding catheter to deliver stents to the distal RCA. (D) Balloon angioplasty with a 6 Fr JR 4.0 guiding catheter at the mid portion of the long LAD and the proximal portion of the D2. LAD, left anterior descending artery; LMCA, left main coronary artery; D1, first diagonal artery; RCA, right coronary artery; PDA, posterior descending artery; D2, second diagonal artery; 6 Fr, 6 French; MP, Multipurpose; JR, Judkins right.

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