Case Report: Coronary Artery Anomalies: Abnormal Origin of LAD, Circumflix from Seperate Ostea from Right Coronary Cusp

Coronary artery anomalies (CCA) are a diverse group of congenital disorders whose manifestations pathophysiological mechanisms are highly variable. Anomalous origin of the left main coronary artery is a rare clinical entity that can present with symptoms across the clinical gamut, from asymptomatic to chest pain and possibly even sudden death. The clinical syndrome varies depending on the course of the aberrant left main. The anterior course where the artery runs between the aorta and the pulmonary artery can lead to compression of the left main, resulting in ischemia and possibly sudden death. In this case female patient complaint of chest pain was underwent multislice CT. She has Absent left main (LM), left anterior descending (LAD), and circumflex artery (CX) ab-normally originate from two separate ostea from right coronary cusp.