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Echocardiographic assessment of the coronary arteries is an important component of cardiovascular evaluation, but detection of a coronary artery anomaly (CAA) remains a challenge. CAAs are most often classified into abnormalities of origin, distribution, or termination and are found in 0.2–1.6% of those undergoing coronary angiography [1,2]. Anomalous origin of left coronary artery (LCA) is 6 to 8 time less common than that of right coronary artery (RCA). In this report, we present an anomalous origin of the left main coronary artery (LM) from the RCA diagnosed by routine transthoracic echocardiography (TTE).

Anomalous Origin of Left Main Coronary Artery from the Right Coronary Artery: Echocardiographic Diagnosis