Example of bicuspid aortic valve with fusion of right and left coronary leaflets (RL BAV) without raphe, closed (A) and open (B), with separate ostia (arrows)

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Example of bicuspid aortic valve with fusion of right and left coronary leaflets (RL BAV) without raphe, closed (A) and open (B), with separate ostia (arrows) of the left anterior descending coronary artery (LAD) and left circumflex artery (LCX) (C). Example of bicuspid aortic valve with fusion of right and left coronary leaflets (RL BAV) without raphe, closed (A) and open (B), with separate ostia (arrows) of the left anterior descending coronary artery (LAD) and left circumflex artery (LCX) (C). (D, E) Three-dimensional reconstruction of a heart with RL BAV without raphe, aortic coarctation (CoA), a left dominant coronary artery system and separate ostia of the LAD and LCX. The aortic valve is indicated in yellow. Ao, aorta; LA, left atrium; LV, left ventricle; PDA, posterior descending artery; PT, pulmonary trunk; RA, right atrium; RCA, right coronary artery; RV, right ventricle; RVOT, right ventricular outflow tract. Catherine M Otto Heart 2019;105:661-662 Copyright © BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.