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Anomalous origin of the left main coronary artery from the main pulmonary artery (ALCAPA) illustrated before and after surgical correction on ECG-gated 40-slice computed tomography
  1. E Coche,
  2. P Muller,
  3. B Gerber

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A 39-year-old man was admitted in another institution for diagnostic work-up of stable exercise induced angina pectoris. Clinical examination was unremarkable. Exercise SestaMIBI single photon emission computed tomography (SPECT) revealed a large perfusion defect in the anterior territory, normalising at rest (panel A). Cardiac catheterisation revealed a large right coronary …

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