Figure Legends
Figure 1. (A, B) Preoperative coronary angiography showed anomalous origin and course of the LCA with a separate ectopic ostia rising from the right coronary sinus, independently from the RCA. (C, D) Cardiac CT scan illustrated the retro-aortic course of the ectopic LCA and its location close to the aortic annulus before reaching the left atrioventricular groove. Ao, aorta; PA, pulmonary artery.
Figure 2. (A) Peroperative view of the anomalous course of the LCA along the non-coronary sinus without intramural path. (B) Surgical view of the valve-sparing aortic root replacement after reimplantation of the aortic valve inside the prosthetic Valsalva graft. The peri-aortic course of the ectopic LCA was preserved. (C) No post-operative stenosis was remarkable in any segment of the LCA on the coronary angiogram.