Patient elderly carrier of atherosclerotic disease undergoing coronary angiography with incidental finding of origin and course of anomalous left coronary artery: a case report

Abstract

Anomalies of the coronary arteries are relatively rare forms of congenital malformation affecting approximately 1% of the population. Patients affected by these anomalies may present themselves asymptomatic, or suffer of a sudden form of acute myocardial infarction, severe arrhythmia and even sudden death. The diagnosis based on clinical history and physical examination often can not be done, for there are no clinically significant changes; therefore the use of imaging is of utmost importance, as in coronary cineangiography, angiotomography and coronary arteries NMR. We report a case in which an elderly, hypertense and smoker patient, associated to atherosclerotic disease presented unstable angina and submitted to coronary cineangiography which revealed incidentally an anomalous origin and course of the left coronary artery.