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Coronary anomalies are rare and usually found incidentally during coronary angiography. Double right coronary artery (RCA) is a rare anomaly that originates from either a single or separate ostia. We report the case of a 68-year-old male with dyspnea on exertion and shortness of breath during the previous month. Electrocardiogram and echocardiography were normal with only moderate pulmonary artery hypertension. During elective coronary angiography, we observed two separate RCAs from a single ostium; both had no significant atherosclerotic lesion. Coronary anomalies are rare, but due to their clinical significance, it is important to diagnose these anomalies for better management.

Double Right Coronary Artery from Single Ostia