E-ISSN 1658-7820
 
2025, Vol: 9, Issue: 9
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Case Report
Online Published: 22 Aug 2023
 


Anomalous left main from right coronary artery who presented with NSTEMI

Asim Mohammed Waleed Aldorrah, Mosa Mohammad Abbadi, Mohsen Jaber Alotayfi, Mohammed Nasser Asiri.


Abstract
Background: Coronary artery anomalies (CAAs) are found in 0.9%-1.3% of patients undergoing coronary angiography. The most common CAAs are anomalies of origin, specifically having a separate left circumflex (LCX) and left anterior descending (LAD) origin with an incidence of 0.41%. Based on the 12-lead standard electrocardiography (ECG) recording, patients are divided into ST elevation myocardial infarction or non-ST-elevation acute myocardial infarction (NSTEMI).
Case presentation: Here, we present our case of a 90 years old male patient who presented with non-STEMI and was found to have an anomalous origin of LAD and LCX from the right coronary artery (RCA). The patient was admitted to the critical care unit as a case of NSTEMI and started on anti-ischemic therapy.
Conclusion: Our patient had two coronary anomalies detected: an LCX artery originating from the RCA, and an anomalous LAD originating from the RCA. The ECG showed NSTEMI.

Key words: Coronary artery anomalies, anomalous left circumflex, left anterior descending, non-ST-elevation acute myocardial infarction.


 
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How to Cite this Article
Pubmed Style

Aldorrah AMW, Abbadi MM, Alotayfi MJ, Asiri MN. Anomalous left main from right coronary artery who presented with NSTEMI. IJMDC. 2023; 7(11): 1582-1585. doi:10.24911/IJMDC.51-1690504432

Web Style

Aldorrah AMW, Abbadi MM, Alotayfi MJ, Asiri MN. Anomalous left main from right coronary artery who presented with NSTEMI. https://www.ijmdc.com/?mno=162801 [Access: October 14, 2025]. doi:10.24911/IJMDC.51-1690504432

AMA (American Medical Association) Style

Aldorrah AMW, Abbadi MM, Alotayfi MJ, Asiri MN. Anomalous left main from right coronary artery who presented with NSTEMI. IJMDC. 2023; 7(11): 1582-1585. doi:10.24911/IJMDC.51-1690504432


Vancouver/ICMJE Style

Aldorrah AMW, Abbadi MM, Alotayfi MJ, Asiri MN. Anomalous left main from right coronary artery who presented with NSTEMI. IJMDC. (2023), [cited October 14, 2025]; 7(11): 1582-1585. doi:10.24911/IJMDC.51-1690504432


Harvard Style

Aldorrah, A. M. W., Abbadi, . M. M., Alotayfi, . M. J. & Asiri, . M. N. (2023) Anomalous left main from right coronary artery who presented with NSTEMI. IJMDC, 7 (11), 1582-1585. doi:10.24911/IJMDC.51-1690504432


Turabian Style

Aldorrah, Asim Mohammed Waleed, Mosa Mohammad Abbadi, Mohsen Jaber Alotayfi, and Mohammed Nasser Asiri. 2023. Anomalous left main from right coronary artery who presented with NSTEMI. International Journal of Medicine in Developing Countries, 7 (11), 1582-1585. doi:10.24911/IJMDC.51-1690504432


Chicago Style

Aldorrah, Asim Mohammed Waleed, Mosa Mohammad Abbadi, Mohsen Jaber Alotayfi, and Mohammed Nasser Asiri. "Anomalous left main from right coronary artery who presented with NSTEMI." International Journal of Medicine in Developing Countries 7 (2023), 1582-1585. doi:10.24911/IJMDC.51-1690504432


MLA (The Modern Language Association) Style

Aldorrah, Asim Mohammed Waleed, Mosa Mohammad Abbadi, Mohsen Jaber Alotayfi, and Mohammed Nasser Asiri. "Anomalous left main from right coronary artery who presented with NSTEMI." International Journal of Medicine in Developing Countries 7.11 (2023), 1582-1585. Print. doi:10.24911/IJMDC.51-1690504432


APA (American Psychological Association) Style

Aldorrah, A. M. W., Abbadi, . M. M., Alotayfi, . M. J. & Asiri, . M. N. (2023) Anomalous left main from right coronary artery who presented with NSTEMI. International Journal of Medicine in Developing Countries, 7 (11), 1582-1585. doi:10.24911/IJMDC.51-1690504432




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