EuroPCR2026-images-100011-Seeing-elephant-without-missing-point

Which anomaly is seen on angiography?

Aortic dissection with occlusion of left main coronary artery

Aortic perfuration

Left sinus of Valsalva aneurysm with proximal LMCA thrombotic occlusion

Correct! The correct answer is "Left sinus of Valsalva aneurysm with proximal LMCA thrombotic occlusion".

The aneurysm likely caused anatomical distortion of the left main coronary artery, predisposing plaque formation and thrombosis. The coexistence of these two entities is exceedingly rare.

Good try! The correct answer is "Left sinus of Valsalva aneurysm with proximal LMCA thrombotic occlusion".

The aneurysm likely caused anatomical distortion of the left main coronary artery, predisposing plaque formation and thrombosis. The coexistence of these two entities is exceedingly rare.

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