Anomalous Left Circumflex Artery Arising from the Right Coronary Artery: Successful Dual-Vessel Stenting in Myocardial Infarction

Authors

  • Syed Sarmad Hussain Punjab Institute of Cardiology, Lahore
  • Laiba Sheher Bano WAPDA Teaching Hospital

DOI:

https://doi.org/10.55958/jcvd.v20i4.256

Keywords:

Coronary artery anomaly, left circumflex artery, right coronary artery, NSTEMI, coronary angiography

Abstract

Anomalies of the coronary arteries are rare finding during angiography. We report a case of a woman of 56 years of age, with uncontrolled diabetes and hypertension presented with non-ST elevation myocardial infarction (NSTEMI). Angiography revealed a total occlusion of proximal right coronary artery (RCA) and a severe stenosis of anomalous left circumflex artery (LCX) originating from the proximal RCA. Percutaneous coronary intervention (PCI) through the right radial approach successfully restored flow in both vessels with the help of drug-eluting stents. This case highlights the critical importance of identifying anomalous coronary anatomy in acute coronary syndromes to ensure comprehensive revascularization and optimize outcomes in high-risk patients.

Author Biographies

Syed Sarmad Hussain, Punjab Institute of Cardiology, Lahore

Postgraduate Resident Cardiology, Depatrment of Cardiology

Laiba Sheher Bano, WAPDA Teaching Hospital

Postgraduate Resident, Department of Medicine.

References

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Lee JH, Youn TJ, Ahn SJ, et al. PCI of anomalous LCx from RCA. Korean Circ J. 2013;43(5):355–8.

Sharma S. LCx from right sinus: importance in angiography. Cardiovasc Interv Ther. 2018;33(1):114–6.

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Published

2025-08-20

How to Cite

Syed Sarmad Hussain, & Laiba Sheher Bano. (2025). Anomalous Left Circumflex Artery Arising from the Right Coronary Artery: Successful Dual-Vessel Stenting in Myocardial Infarction. The Journal of Cardiovascular Diseases, 20(4). https://doi.org/10.55958/jcvd.v20i4.256

Issue

Section

Case Report