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Anomalous coronary arteries

Case contributed by Dr Mohamed Saber

Presentation

Recurrent chest pain and dyspnea

Patient Data

Age: 40 years
Gender: Male
CT

Anomalous origin of the left main coronary artery from the non-coronary sinus seen coursing in a retro-aortic region. It is of average size and adequately enhanced and ends by trifurcation into left anterior descending, left circumflex, and ramus intermedius arteries.

Normal right coronary artery origin from the right coronary sinus, however it anomalously directing shortly to the left in an acute angle being in between the aorta and pulmonary artery before directing again to the right side in a normal course.

Annotated image

Red arrows point to abnormal origin and course of left main coronary artery

The green arrow points to normal origin however the short anomalous interarterial course of the proximal right coronary artery

Case Discussion

Two rare coronary arteries anomalies are seen in this case

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Case information

rID: 83979
Published: 9th Nov 2020
Last edited: 11th Nov 2020
System: Cardiac
Inclusion in quiz mode: Included
Institution: Faculty of medicine Al-Azhar University

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