Little devil takes your breath away

  • M. A. C. Koole
  • J. A. Winkelman
  • A. Kaya
  • M. A. BeijkEmail author
Open Access
Image Puzzle – Question

A 67-year-old female patient was referred with progressive dyspnoea on exertion. Coronary angiography was performed (Fig. 1a, b).

What is your diagnosis?
Fig. 1

Coronary angiography of the right coronary artery. a Left anterior oblique view. b Right anterior oblique view


You will find the answer elsewhere in this issue.


Conflict of interest

M.A.C. Koole, J.A. Winkelman, A. Kaya and M.A. Beijk declare that they have no competing interests.

Supplementary material

Left anterior oblique view of the right coronary artery

Right anterior oblique view of the right coronary artery

Copyright information

© The Author(s) 2019

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Authors and Affiliations

  • M. A. C. Koole
    • 1
    • 3
  • J. A. Winkelman
    • 2
  • A. Kaya
    • 2
  • M. A. Beijk
    • 3
    Email author
  1. 1.Department of CardiologyRed Cross HospitalBeverwijkThe Netherlands
  2. 2.Department of Cardiothoracic Surgery, Amsterdam UMCUniversity of AmsterdamAmsterdamThe Netherlands
  3. 3.Department of Cardiology, Amsterdam UMCUniversity of AmsterdamAmsterdamThe Netherlands

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