Abstract
1 A 31-year-old man presented with increasing palpitaions, chest tightness, and worsening dyspnea on exertion. oronary angiography showed an anomalous coronary arery from the right coronary cusp supplying the mid and istal left anterior descending (LAD) artery. Multislice omputed tomography (MSCT) angiogram was performed o assess the precise course of the anomalous coronary rtery. MSCT showed an anomalous LAD coronary artery rising from the right coronary artery coursing anterior to he right ventricular outflow tract before descending into the nterior interventricular groove (Fig 1). However, CT also howed a small right ventricle, apical displacement of the eptal leaflet, large sail-like anterior leaflet, and “atrializaion” of the right ventricle (which is cephalad to the septal eaflet of the tricuspid valve and caudal to the anatomic
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