A rare abnormality - Image 5

Image in Interventional Cardiovascular Medicine: what is displayed on this image? ... and do not hesitate to comment how you would treat this case!

A 61 year old patient with a severely stenotic bicuspid aortic valve received a pre-operatory coronary angiography. Despite numerous efforts, it was not possible to visualize the origin of the left coronary at the left ostium. Catheterization of right coronary artery (RCA) demonstrated a normal implantation at the right sinus.

An image is worth a 1,000 words: tell us what you see in this image!

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