REFERENCES
  1. A Musiani 1, C Cernigliaro, M Sansa, D Maselli, C De Gasperis. Left main coronary artery atresia: literature review and therapeutical considerations. Eur J Cardiothorac Surg. 1997 Mar;11(3):505-14. doi: 10.1016/s1010-7940(96)01121-9.
  2. Cortes M., Roldan C.A., Clegg S. Unusual congenital coronary artery anomaly in a young adult presenting as sudden cardiac arrest. BMJ Case Rep. 2018;24:2018.
  3. Choudhry S, Raja MH, Maadullah M. A rare congenital cardiovascular abnormality presenting as respiratory distress in an infant. J Pak Med Assoc  2012; 62 : 969– 971.
  4. Xianghong Luo MD Zhaojun Li MD Bin Geng MD. Congenital Atresia of the Left Main Coronary Artery: Preliminary Diagnosis by Echocardiography. 2013 https://doi.org/10.7863/ultra.32.11.2045
  5. Ibrahim A, Power SP, Kelly P. Anomalous left anterior descending artery arising from the pulmonary trunk: a rare cause of angina BMJ Case Rep. 2017 Sep 7;2017:bcr2017221618. doi: 10.1136/bcr-2017-221618.PMID: 28882941
  6. Petersen JA, Karlo CA, Alkadhi H, Gaemperli O, Biaggi P. Anomalous origin of the right coronary artery from the pulmonary artery: a rare finding in an asymptomatic man. Eur J Echocardiogr  2011; 12 : 884.
  7. Ten Kate G.J., Weustink A.C., De Feyter P.J. Coronary artery anomalies detected by MSCT-coronary angiography in the adult. Netherlands Heart J.  2008;16:369–375.Figure legends
Fig 1. No filling of the LMS during aortic root injection.
Fig 2. Retrograde filling of LAD by RCA injection, through collaterals.
Fig 3. Blind end of Left main coronary artery on CT angiography
Fig 4. 3D reconstruction depicting atretic ostium left coronary artery and tortous left anterior descending