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LETTERS TO THE EDITOR

Myocardial ischemia secondary to congenital hypoplastic left coronary cusp in adult

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Page 195 | Received 31 Mar 2011, Accepted 09 Apr 2011, Published online: 31 May 2011

Figures & data

Figure 1. Trans-esophageal echocardiography at short axis view of the basal structure (58° at mid-esophagus). The hypoplastic left coronary cusp (arrows) fails to co-apt during the diastole resulted in aortic regurgitation. LA, left atrium; N, non-coronary cusp; R, right coronary cusp; RVO, right ventricular outflow.

Figure 1. Trans-esophageal echocardiography at short axis view of the basal structure (58° at mid-esophagus). The hypoplastic left coronary cusp (arrows) fails to co-apt during the diastole resulted in aortic regurgitation. LA, left atrium; N, non-coronary cusp; R, right coronary cusp; RVO, right ventricular outflow.

Figure 2. Aortic root angiogram reveals a membrane-like structure partially occluding the left coronary ostium (arrows).

Figure 2. Aortic root angiogram reveals a membrane-like structure partially occluding the left coronary ostium (arrows).

Figure 3. Selective right coronary angiogram reveals normal right coronary artery (RCA) with retrograde filling of the left circumflex artery (LCX) and up to ostium of the left main coronary artery (LMCA).

Figure 3. Selective right coronary angiogram reveals normal right coronary artery (RCA) with retrograde filling of the left circumflex artery (LCX) and up to ostium of the left main coronary artery (LMCA).

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