[Anomalous origin of coronary arteries from the aorta]

The authors report the series of 9 patients [6 male and 3 female, aged from 32 to 64 years] with anomalous origin of coronary arteries from the aorta discovered at coronary arteriography. In 4 cases, the circumflex artery aries from the right coronary sinus and in 5 cases, the right coronary artery arises from the left coronary sinus. Severe atherosclerotic coronary disease was discovered in 5 cases. We conclude that aberrant coronary origin from the aorta is a rare congenital anomalous discovered usually at coronary angiography and certain patients with this anomalous can develop severe myocardial ischemia especially when a vessel runs between the aorta and pulmonary artery