An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus

Figure 1

Right coronary angiogram (left anterior oblique 30°/cranial 30°) revealing a small anomalous LAD artery (blue arrows), a large ectatic RCA giving rise to the LCx (white arrows), multiple RCA lesions (green arrows) with an 80-90% mid to distal calcified eccentric lesion (green arrow with asterixis), a filling defect representing a thrombotic occlusion in the distal RCA (red arrow), and a 70% mid right posterior descending artery concentric lesion (yellow arrow).