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. 2020 Aug 7:jeaa212. doi: 10.1093/ehjci/jeaa212

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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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Short-axis view of the heart at the level of the aortic valve on CT and echocardiogram showing diffuse ectatic changes in the left main coronary artery (LMCA) and left anterior descending (LAD) artery. The circumflex artery origin can just be seen coming off the LMCA and is ectatic in configuration.