Dual left anterior descending coronary artery type IV

Discussion:

The double LAD coronary artery originating from the left main coronary stem and the right coronary artery is a rare congenital coronary anomaly1. It reported occurring in 0.64–1.3% of patients undergoing coronary angiography. 
Dual LAD had been reported to occur with an incidence of 1% by Spindola-Franco et al 3

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