Incidental diagnosis of Coronary Anomaly of the Circumflex Artery with Retroaortic Course by Transthoracic Echocardiography in young athlete

The morphology of human coronary anatomy is fascinating because it is variable. When the morphology deviates from typical anatomy, it is considered anomalous, but this occurs in less than 1% of the population. The left circumflex anomaly is one of the most common congenital anomalies of the coronary arteries, whether it originates from the right coronary sinus (RCS), ergo the right sinus of Valsalva (RSV), or from the proximal right coronary artery and cusp. In this report, the author describes the original case of a 22-year-old healthy male and fit athlete with an anomalous course and origin of the LCX, diagnosed on TTE by the typical RAC during sports pre-participation screening.