Anomalous Coronary Artery Variant of Common Origin from Right Coronary Cusp: A Case Report
Coronary artery anomalies are rare congenital variants of coronary artery anatomy accountingsecond most common cause of sudden cardiac death in young competitive athletes. A single ostiumcoronary artery anomalous is an extremely rare variant with an incidence of less than 0.004%. Theymay present as chest pain, arrhythmia, or sudden death. Recently, advanced imaging techniques suchas computed tomography and magnetic resonance imaging coronary angiography are becoming thealternatives investigation for diagnosis. We reported a rare case of 50 years old lady who presentedwith acute chest pain with normal electrocardiography, echocardiography, and cardiac markers.Coronary Computed tomography angiography revealed anomalous coronary artery anatomy withboth right and left coronary artery arising from the large common trunk of the right coronary cusp,left main coronary artery having trans-septal course, there was no flow-limiting coronary arterydisease. She was medically managed with a single antiplatelet, beta-blocker, and statin therapy.