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A 63-year-old woman presented with angina. Myocardial perfusion imaging was positive for anterior ischemia. Cardiac computed tomographic angiography showed no coronary atherosclerosis and a PFE within the left coronary cusp, causing left main coronary artery occlusion during systole and early diastole. Surgical removal of the PFE resulted in symptom resolution. Get the details in #JACCCaseReports: https://bit.ly/44oeBeK | JACC Journals
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