Abstract
Anomalous aortic origin of coronary arteries is the second most common cause of sudden death after hypertrophic obstructive cardiomyopathy.1 It occurs when the left, right, or both coronary arteries do not originate from their respective sinuses of Valsalva. Anomalous origin of the right coronary artery (AAORCA) is significantly more common than the left-sided anomalous aortic origin of coronary arteries.2 Patients with signs of myocardial ischemia should be referred for surgical intervention.1
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