Coronary Artery Anomalies: A Case Series and Brief Review of Literature

Coronary artery anomalies (CAAs) are rare congenital defects involving the epicardial coronary arteries. This condition is occasionally discovered accidentally during procedures like coronary angiography or during autopsies. Although many adults with this condition tend to be asymptomatic, some may suffer from angina, congestive heart failure, myocardial infarction, cardiomyopathy, ventricular aneurysms, or even sudden cardiac death (SCD). Indeed, it ranks as the second most common cause of sudden cardiac death (SCD) in young athletes and necessitates further research for effective management of these patients. To demonstrate the various potential presentations of this rare diagnosis, we will discuss a series of five cases. In this series of cases, we have showcased five distinct forms of CAA: anomalous origin, course, and termination. All our patients are adults, and they have undergone coronary angiograms in view of ischemic symptoms. At the end of our case series, we have incorporated a comprehensive literature review in the discussion section.