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In anomalous right coronary artery (RCA), extravascular coronary compression results in dynamic obstruction which can cause effort angina as well as syncope. Measurement of dynamic intracoronary pressure gradient (ΔP) change across the lesion using dobutamine challenge with rapid atrial pacing (RAP) can be used for assessment of dynamic obstruction in anomalous coronary artery. We report a case of...
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