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Bileaflet prosthetic mitral valve and left coronary angiogram by trans radial route. Prosthetic mitral valve ring is seen in the lower part of the image. The leaflets are not visible as they are in the closed position. There is a vague circular outline within the sewing ring, which is much more radiopaque than the leaflets. Upper part of the fluoroscopic image shows the Tiger transradial catheter in the left coronary artery. The left main coronary artery seems to be short and bifurcates into left anterior descending coronary artery (LAD) and left circumflex coronary artery (LCX). LAD is seen coursing upwards initially in this left anterior oblique (LAO) caudal view. This view is also called the ‘spider view’ as the coronary tree resembles the legs of the spider in this view. LCX gives off a large obtuse marginal (OM) branch. The vessels are not clear in this view as the frame has been frozen in a position to show the valve ring without concentrating on the vascular tree.