Anomalous origin of left anterior descending and circumflex coronary artery from two separate ostia in the right sinus of valsalva with unusual dominant right coronary artery.

Anomalous origin of left anterior descending (LAD) and left circumflex (LCX) coronary artery from two separate ostia in the right sinus of Valsalva (RSOV) with unusual dominant right coronary artery is an exceedingly rare congenital coronary anomaly. We report a case of a 69-year old woman who was admitted to the hospital because of atypical chest pain. Both multislice computed tomography and coronary angiography revealed this kind of anomaly. Since the benign anomaly and the absence of definite ischemia, the patient doesn't need any specific therapy for this anomaly and is required regular follow-up.