PMC8265257_01
coronary angiography showing an anomalous origin of coronary artery with a right common trunk of the circumflex artery and the right coronary artery
PAMJ-38-327-g001.jpg
PMC8265257_01_PAMJ-38-327-g001.jpg
F1
A coronary angiography was performed and had shown an anomalous coronary artery with a birth defect giving a right common trunk of the circumflex artery and the right coronary artery (Figure 1).
CT coronary artery, A) transverse view showing anomalous origin of right coronary artery with interarterial course (the birth of a common trunk from the left anterior sinus passing between the aorta and the pulmonary artery and giving right coronary artery and circumflex artery); B) inferior view of a three-dimensional reconstruction demonstrating arterial paths
PAMJ-38-327-g002.jpg
PMC8265257_01_PAMJ-38-327-g002.jpg
F2
MDCTCA was performed and had demonstrated a variant of an anomalous coronary arteries with birth defect in the left anterior sinus of the right coronary and the circumflex artery from a right common trunk passing between the aorta and the trunk of the pulmonary arteries (Figure 2). Myocardial perfusion scintigraphy was performed and had shown signs of antero-apical myocardial ischemia in 4 segments without sequelae of necrosis then we performed a stress MRI that hadn t shown any signs of myocardial ischemia.