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Cardiology Research and Practice
Volume 2010, Article ID 376067, 4 pages
Case Report

A Rare Coincidence of Two Coronary Anomalies in an Adult

1Division of Cardiology, Atlanta Veterans Affairs Medical Center, Decatur, GA 30033-4004, USA
2Division of Cardiology, Emory University, Atlanta, GA 30322, USA

Received 24 October 2009; Accepted 9 March 2010

Academic Editor: Fausto J. Pinto

Copyright © 2010 Cesar Cruz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Anomalous right-sided left main coronary arteries and dual type IV left anterior descending arteries are rare coronary anomalies. In this case report, we present a 59 year old man with atypical chest pain and a combination of the above coronary anomalies as identified by selective coronary angiography and computed tomography angiography. To the best of our knowledge, the coincidence of these coronary anomalies has not been previously described.