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a Patient with septic shock, acute pulmonary edema, and systemic arterial embolization (TEE midesophageal long axis view): massive mobile vegetation (white arrow) on native aortic valve (right cusp; note also anatomic disruption of the non-coronary cusp).
METHODS AND RESULTS: We reviewed 210 700 cardiac catheterizations performed over a 35-year period at a single institution and identified 301 adults with an anomalous coronary artery from the opposite sinus of Valsalva, either anomalous right coronary artery from the left cusp or anomalous left main coronary artery from the right cusp.
c The reference line in the coronal image that controls the former axial plane is moved up and down to identify the lowest insertion point of the right coronary cusp, and the former axial plane is positioned exactly at the level of the right cusp insertion point.
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The diastolic coronary flow partially induces laminar shear stress over the left and right cusps, whereas the flow over the non-coronary cusp may be solely oscillatory.
The left and right cusps correspond to the aortic departure of the left and right coronary artery, whereas the posterior aortic valve leaflet is referred to as the non-coronary cusp.
Again, the right coronary cusp (upper most cusp) has normal excursion, suggesting that the degree of aortic stenosis is unlikely to be severe.
R-NC, fusion of right coronary cusp and non-coronary cusp.
R-L, fusion of right coronary cusp and left coronary cusp.
ECM maps created in the LVOT identified a perfect match at the region between the right coronary cusp and the noncoronary cusp with an early local electrogram (−45 ms) and a 12/12 pace-map match.
This virtual basal ring is often not orthogonal to the LVOT, and insertion of the right coronary cusp can often be inferior to the left and non-coronary cusps [11].
Right coronary cusp of the aortic valve.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com