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Anomalous Left Coronary Artery from the Right Cusp

Imaging findings

An anomalous origin of the left coronary artery with an intraconal (transeptal) course, characterized by a "hockey stick" or "hammock" configuration within the myocardium.

Key takeaways

Management of this anomaly remains debated; it is often treated on a case-by-case basis, moving away from dogmatic "benign vs. malignant" classification.

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