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Absence of left circumflex with superdominant right coronary artery
  1. Alejandro Quijada-Fumero,
  2. Raquel Pimienta-González,
  3. Marcos Rodriguez-Esteban
  1. Department of Cardiology, Hospital Universitario Nuestra Señora de Candelaria, S/C de Tenerife, Spain
  1. Correspondence to Alejandro Quijada-Fumero, aqf1988{at}


Congenital anomalies of coronary arteries are a group of diseases that are infrequently found. Their prevalence has been reported from 0.6% to 1.3%. Most clinical manifestations are benign and asymptomatic. Congenital absence of the left circumflex artery is a very rare congenital anomaly of the coronary circulation, and only a few cases have been reported in the literature. We report a case of a 51-year-old man who underwent a cardiac catheterisation. Coronary angiography showed a left anterior descending coronary artery with no circumflex and a dominant right coronary artery.

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