case_images: PMC8265257_01
case_images: coronary angiography showing an anomalous origin of coronary artery with a right common trunk of the circumflex artery and the right coronary artery
case_images: PAMJ-38-327-g001.jpg
case_images: PMC8265257_01_PAMJ-38-327-g001.jpg
case_images: F1
case_images: 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).
case_images: 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
case_images: PAMJ-38-327-g002.jpg
case_images: PMC8265257_01_PAMJ-38-327-g002.jpg
case_images: F2
case_images: 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.