A seventy-one-year-old woman suffering from angina pectoris had a superdominant left anterior descending artery with a 95% stenosis just after it extended the apex. This superdominant artery was demonstrated angiographically by the findings that it ran in the posterior interventricular sulcus and reached the crux of the heart. Percutaneous transluminal coronary angioplasty for the stenosis beyond the apex was successfully performed. After the procedure, she was relieved from chest pain.

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