RT Journal Article T1 Occlusion of the left main coronary artery and collateral circulation via the conus branch A1 De Agustín Loeches, José Alberto A1 Nuñez-Gil, Iván Javier A1 Manzano, Maria del Carmen A1 Vivas Balcones, Luis David A1 Ruiz Mateos, Borja A1 Carda, Rocío A1 Vilacosta, Isidre A1 Zamorano Gómez, José Luis A1 Macaya Miguel, Carlos AB We report the case of a 71-year-old-man, a smoker, admitted for unstable angina. Subsequent investigation revealed complete proximal occlusion of the left main coronary with an unusual collateral circulation. The left coronary artery was filled by a large conus branch originating from the right sinus of Valsalva. This case shows the importance of looking for atypical collateral circulation in patients with chronic occlusion of the left main coronary artery and normal left ventricular function. PB Wolters Kluwer SN 1558-2027 YR 2009 FD 2009 LK https://hdl.handle.net/20.500.14352/131916 UL https://hdl.handle.net/20.500.14352/131916 LA eng NO de Agustin, J. A., Nunez-Gil, I. J., del Carmen Manzano, M., Vivas, D., Mateos, B. R., Carda, R., Vilacosta, I., Zamorano, J. L., & Macaya, C. (2009). Occlusion of the left main coronary artery and collateral circulation via the conus branch. Journal of cardiovascular medicine (Hagerstown, Md.), 10(5), 431–432. https://doi.org/10.2459/jcm.0b013e3283249931 DS Docta Complutense RD 17 mar 2026