A rare case of symptomatic anomalous left circumflex artery supplying the left ventricular apex

In rare occasions of coronary artery anomaly, the apex of the heart may be supplied by coronary arteries other than the left anterior descending artery. In most of the such an anomaly, the posterior descending artery originating from the right coronary artery is seen to supply the apex. However, very rarely, the apex may be supplied by the left circumflex artery. Here in this case report, we are describing a rare case of apex supplied by an obtuse marginal branch of the left circumflex artery. This case is being reported due to its rareness, unique presentation, and the dilemma that arises regarding its appropriate medical and surgical management.