Anomalous Coronary Anatomy
A 67-year-old woman was admitted with chest pain. She was subsequently found to have an abnormal myocardial perfusion study that showed possible ischemia at the basal to midanterior wall and normal left ventricular function. She had a history of a stent to her right coronary artery in 2001. She reported, “They told me I had an artery in a strange place,” but none of her medical records were available at the time of catheterization. Her angiogram revealed anomalous coronary anatomy (Figure). The image demonstrates 3 main coronary arteries from a common cusp. To the best of our knowledge, this particular combination of anomalies has not been reported previously.