Anomalous origin of the left coronary artery with malignant course

Case contributed by Naim Qaqish , 22 May 2020
Diagnosis certain
Changed by Yusra Sheikh, 28 May 2020

Updates to Case Attributes

Body was changed:

This is 45 years old gentleman, after presenting to his cardiologist complaining of exertional epigastric pain and dyspnea. ECG stress test showed changes compatible with angina. He is a smoker for 20 years but is free forfrom chronic medical diseases. Coronary CTA was requested by the cardiologist and revealed a congenital malignant course of the left main coronary artery running between the ascending aortic root and the right ventricular outflow tract.

  • -<p>This is 45 years old gentleman, after presenting to his cardiologist complaining of exertional epigastric pain and dyspnea. ECG stress test showed changes compatible with angina. He is a smoker for 20 years but is free for chronic medical diseases. Coronary CTA was requested by the cardiologist and revealed a congenital malignant course of the left main coronary artery running between the ascending aortic root and the right ventricular outflow tract.</p>
  • +<p>ECG stress test showed changes compatible with angina. He is a smoker for 20 years but is free from chronic medical diseases. Coronary CTA was requested by the cardiologist and revealed a congenital malignant course of the left main coronary artery running between the ascending aortic root and the right ventricular outflow tract.</p>

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