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It is generally believed that the occlusion of a nondominant right coronary artery is not associated with significant consequences. Atherosclerotic disease of non-dominant right coronary in the absence of significant left coronary artery disease is rare, and the prevalence is substantially lower as compared to dominant Right Coronary Artery. We report a case of a young male presenting with acute coronary syndrome and hemodynamically significant atrial fibrillation. Coronary angiography showeddoi:10.17554/j.issn.2309-6861.2018.05.161 fatcat:fh4vs4vgczawbiodl6g26quvca