Anomalous course of the left anterior descending coronary artery between the aorta and pulmonary trunk: A rare cause of myocardial ischaemia at rest

Abstract

When the left anterior descending coronary artery follows an anomalous course between the aorta and pulmonary artery it -can cause myocardial ischaemia or sudden death during exercise in young people. Coronary arteriography in a 27 year old man with angina pectoris at rest showed a left anterior descending coronary artery arising from a common right tunk and running from the aorta to the pulmonary artery. Follow up after revascularisation was uneventful.