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Anomalous Origin and Course of Left Anterior Descending Coronary Artery

Department of Cardiology 1 Department of Cardiac Surgery Sri Venkateswara Institute of Medical Sciences Tirupati, Andhra Pradesh, India

For reprint information contact: Durgaprasad Rajasekhar, DM Tel: 91 8574 51222 Ext 2369 Fax: 91 8574 28803 Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP 517507, India.

A 56-year-old female with exertional angina had signs of ischemia on an exercise electrocardiogram. Coronary arteriography revealed anomalous origin of the left anterior descending coronary artery from the right coronary artery. The initial portion was septal and it then coursed between the aorta and the pulmonary artery. The patient declined surgical revascularization.