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Anomalous origin of the right coronary artery arising from ascending aorta above the left sinus of Valsalva is an extremely rare coronary anomaly. In the setting of an acute myocardial infarction rapid identification, localization and selective cannulation of thisculprit' anomalous right coronary artery presents a challenging scenario. Here we describe a case with this anomaly presenting as an acute inferior wall myocardial infarction along with description of its distinctive interventional challenges. We also provide a comprehensive review of all the cases with this anomaly described in the English Literature.

international journal of clinical cardiology

Anomalous Right Coronary Artery Arising from the Ascending Aorta Above the Left Sinus of Valsalva in the Setting of Acute Inferior ST-Elevation Myocardial Infarction: Unique Challenges and Literature Review