We report a case of 66-year-old female patient who presented with
unstable angina and New York Heart Association Class III symptoms.
Transthoracic Echocardiogram demonstrated severe wall motion
abnormalities in the anterior and inferior walls of the heart. Coronary
angiography demonstrated a severely diseased right coronary artery and
an anomalous left main coronary artery arising from the opposite
coronary sinus and courses posterior to the aorta and runs between the
aorta and the main pulmonary artery with severe multiple atherosclerotic
disease. Patient underwent successful coronary artery bypass grafting
and was dismissed in good general status.