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Syphilitic coronary artery ostial stenosis presenting with acute myocardial infarction
  1. Ng Choon Ta,
  2. Chin Chee Tang,
  3. Ching Chi Keong
  1. Department of Cardiology, National Heart Centre Singapore, Duke-NUS Graduate School, Singapore, Mistri Wing, Singapore
  1. Correspondence to Dr Ching Chi Keong, National Heart Centre Singapore 17 Third Hospital Avenue, Mistri Wing, Singapore 168752, Singapore; ching.chi.keong{at}

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A middle-aged patient presented to the Emergency Department with angina lasting 30 min. He did not have any risk factors for coronary artery disease. Electrocardiogram and cardiac enzymes changes were consistent with Non ST Elevation Myocardial Infarction.

We proceeded with invasive coronary angiography which showed aortic regurgitation, and 90% focal stenosis of both the left main (LM) ostium (Figure 1(A); see supplementary online video A), and the …

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  • Declaration All the authors declare that the manuscript has not been submitted for consideration or published elsewhere, none of the paper's contents have been previously published, and that there is no competing interest or financial funding

  • Contributors NCT: involved in reporting and planning of the manuscript, responsible for the overall content. CCT: involved in review of manuscript, conduct of the investigations performed. CCK: overall incharge of the conceptualisation of the manuscript, attending physician of the patient.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.