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A 60-year-old woman with no modifiable coronary risk factors presented with a second, inferolateral, non-ST elevation myocardial infarction within 8 months. Her prior angiogram in a different institution revealed intraluminally unobstructed coronaries. Repeat coronary angiography revealed a right coronary artery (RCA) arising from the left coronary sinus, anterior to the aorta in the right anterior oblique (RAO) view (figure 1 and see online supplementary video). An intra-arterial course was therefore suspected, with the RCA running between the …
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