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Circulation, Vol 60, 101-106, Copyright © 1979 by American Heart Association

ARTICLES

An essential view in coronary arteriography

PH Nath, G Velasquez, WR Castaneda-Zuniga, C Zollikofer, A Formanek and K Amplatz

A significant stenosis of the left main coronary artery is associated with a significant mortality and is one of the major indications for aortocoronary bypass surgery. The diagnosis of this lesion on clinical grounds is inconsistent and should be established by angiography. All routine projections during coronary arteriography cause foreshortening of the left main coronary artery. Well-collimated anteroposterior and shallow right and left anterior oblique views show the main segment best. These views also show the proximal segments of circumflex and anterior descending branches, and should be routinely used during every coronary arteriogram.

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