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Interventional Medicine and Applied Science
Yiğit Çanga
Tolga Sinan Güvenç
Mehmet Baran Karataş
Tahir Bezgin
Bariş Güngör
Rengin Çetin
, and
Osman Bolca

Type IV dual left anterior descending artery (LAD) anomaly constitutes a rare subset of coronary anomalies in which the anterior and anterolateral wall of the left ventricle is supplied by a short LAD originating from the left coronary artery along with a long LAD that originates from the right sinus of Valsalva. Albeit rare, the angiographic presentation is challenging since the appearance of the short LAD is similar to a total occlusion beyond first few diagonal or septal branches. Here, we present a series of four cases with type IV dual LAD anomaly with different clinical and angiographic presentations.

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