Tehran University of Medical Sciences

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Anomalous Origin of Right Coronary Artery From the Left Anterior Descending Artery: A Case Report



Shakerian B1 ; Jebelli M2
Authors
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Authors Affiliations
  1. 1. Cardiovascular Surgery Department, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
  2. 2. Department of Cardiovascular Surgery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Scientific Journal of Kurdistan University of Medical Sciences Published:2022

Abstract

Background and Aim: Anomalous origin of the right coronary artery from the left anterior descending artery is extremely rare. It is usually asymptomatic but can be associated with a risk of myocardial ischemia and sudden death. Case presentation: This paper presents the case of an elderly male with exertional dyspnea. He underwent diagnostic measures including coronary artery angiography which showed severe stenotic three-vessel disease and right coronary artery anomaly. He underwent coronary artery bypass grafting and discharge home in good condition. Conclusion: Although the abnormal origin of the right coronary artery from the left anterior descending artery is a rare anomaly, due to causing chest pain and the possibility of sudden death, it is considered important. For a definite diagnosis of this anomaly coronary angiography is useful. © 2018 the Author (s).