Presentation
Shortness of breath with anginal symptoms with positive TMT.
Patient Data
Age: 55 years
Gender: Male
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MDCT coronary angiography post processed images (MIP and VRT) showing RCA and LMCA arising from right coronary cusp with separate ostia with retro aortic course of long LMCA (colored blue) before trifurcating.
Case Discussion
An aberrant origin of left main coronary artery from the right coronary aortic sinus is a rare anomaly. MDCT can depict the origin and course of involved coronary noninvasively.