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Absent Left Main Coronary Artery with Separate Origin of Left Anterior Descending Artery and Left Circumflex Artery from Left Coronary Sinus Cover

Absent Left Main Coronary Artery with Separate Origin of Left Anterior Descending Artery and Left Circumflex Artery from Left Coronary Sinus

Open Access
|Jan 2026

Figures & Tables

Figure 1

(A, B) Volume-rendered images of coronary computed tomography angiography demonstrate absence of the left main coronary artery segment. The left anterior descending (LAD) artery and the left circumflex (LCx) artery are seen arising directly from the left coronary sinus (LCS) with separate ostia. The right coronary artery (RCA) is seen orthotopically arising from the right coronary sinus. Virtual dissection image (C) shows the separate ostia of the left anterior descending (LAD) and left circumflex (LCx) arteries.

DOI: https://doi.org/10.14797/mdcvj.1738 | Journal eISSN: 1947-6108
Language: English
Page range: 4 - 6
Submitted on: Nov 13, 2025
Accepted on: Dec 1, 2025
Published on: Jan 19, 2026
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2026 Damandeep Singh, Niraj Nirmal Pandey, Neeraj Parakh, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.