Abstract
Congenital anomalies of the coronary arteries are relatively rare - they are found in 1.3% of all patients undergoing coronary arteriography. They are a common cause of sudden cardiac death in young athletes and hard labor workers. The atypical origin of the right coronary artery from the left coronary sinus has a clinical significance when the anomalous artery is compressed between the aorta and the pulmonary artery causing intermittent ischemia. Atherosclerosis and rupture of the atherosclerotic plaque could be a common cause for ischemia too. The atypical origin of the coronary artery is a challenge for the interventional cardiologist.
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