This case report describes a rare presentation of an anomalous LAD artery originating from the right coronary artery ostium with significant atherosclerotic obstruction requiring surgical intervention.
Alerts clinicians to rare anomalous LAD origins in CAD; leaves open questions on prevalence and management.
A 47-year-old female presented to our hospital with symptoms of stable angina. Cardiac catheterization revealed a rare coronary artery anomaly of the left anterior descending (LAD) artery branching off the right coronary artery ostium. Furthermore, the anomalous LAD artery exhibited significant atherosclerotic obstruction. Our review of the literature found only nine such previously described cases. Due to the unique nature of coronary artery anomalies and their complications, we would like to contribute our case to the medical literature.
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Mironov et al. (2016) studied this question.
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