Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 12, Number 11, November 2021, pages 460-463

Anomalous Coronary Arteries: A Case of Rare and Incidental Findings


Figure 1.
Figure 1. Presenting electrocardiogram showing atrial fibrillation with rate to 75 beats per minute, without ST-T changes.
Figure 2.
Figure 2. Chest X-ray showing cardiomegaly (white arrows showing the cardiac borders) and extensive bilateral pulmonary vascular congestion (red arrows).
Figure 3.
Figure 3. (a) Cannulation and angiography of the RCA (white arrows). (b, c) Simultaneous angiography of the LMCA and RCA due to anomalous origin of LMCA from RSOV (white arrows). RCA: right coronary artery; LMCA: left main coronary artery; RSOV: right sinus of Valsalva.


Table 1. Laboratory Studies Upon Admission
Hemoglobin (g/dL)11.512.0 - 16
White blood cell count (× 109/L)10.24.5 - 11.0
Sodium (mmol/L)134135 - 146
Potassium (mmol/L)5.53.5 - 5.0
Glucose (mg/dL)13470 - 110
Blood urea nitrogen (mg/dL)377.0 - 18.0
Creatinine (mg/dL)1.150.44 - 1.0
B-type natriuretic peptide (pg/mL)7190 - 100
Aspartate aminotransferase (U/L)6210 - 42
Alanine aminotransferase (U/L)3010 - 60
Total bilirubin (mg/dL)1.80.2 - 1.2