Twin LCX

36Y male with chest pain, CT coronary shows a very rare anomaly. Twin LCX, (less than 10 cases in literature ).
The original LCX originates from LMCA , it supplies an early OM.
The 2nd anomalous LCX (arises from proximal RCA) with retro-aortic course till it reaches the left AV groove where it supplies a small OM.

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Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging consultant at Aswan heart center -Magdi Yacoub Foundation , Egypt