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Figure 3 Transthoracic echocardiography in a patient with anomalous origin of the left coronary artery from the right sinus of Valsalva and an intramyocardial course of the anomalous coronary from a short-axis plane. The anomalous left coronary artery can be seen coursing between the aorta (Ao) and right ventricular outflow tract (RVOT) within the myocardial wall (arrows) before bifurcating into the left anterior descending (LAD) and circumflex (Cx) branches.