Anomalous Origin of the Left Coronary System from the Right Coronary Cusp: A Rare Coronary Anomaly in a Patient Undergoing Aortic Stenosis Workup

Authors: Maturi BP , Yelam RK , Kamsala C , Sagwal A , Hyun SJ , Jakka B and Dunde A

DOI: 10.23880/oajc-16000217

Volume 9, Issue 1

Abstract

We report a rare case of an anomalous origin of the left circumflex artery (LCX) from the proximal right coronary artery (RCA), along with an independent origin of the left anterior descending artery (LAD) from the right coronary cusp. Recognition of this coronary anomaly was pivotal in the preoperative assessment of a patient undergoing surgical aortic valve replacement (SAVR) for severe aortic stenosis. This case highlights the critical role of detailed preoperative imaging in identifying coronary anomalies to optimize operative planning and minimize the risk of intraoperative complications.

Keywords: Anomalous Coronary Artery; LAD Anomaly; Right Coronary Cusp; Aortic Valve Replacement; SAVR

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