Anomalous right coronary artery from distal left circumflex coronary artery:a rare case report

Coronary artery anomalies (CAAs) being a group of congenital disorders, present with highly variable manifestations andhave diverse pathophysiological manifestations. In middle aged to elderly patients, a coronary anomaly is often an incidental finding.We presenteda case of 65-year-old female with history of diabetes for past 9 years who presented to our emergency department with history of exertional chest pain for past 4 weeks. Anomalous origin of right coronary artery (RCA) from distal left circumflex artery (LCX) was observed on coronary angiography. Patient was managed with optimised medical therapy (OMT).