“… 2 The typical characteristic of coronary angiography and CCTA is a pouch-like filling in the small left sinus of Valsalva, which is an occlusion of the coronary ostium by a rudimentary aortic cusp. 3 Patients may experience symptoms of myocardial ischemia, and surgical repair of the coronary ostium is often the only way to treat this anomaly. 4 …”