ANOMALOUS ORIGIN OF THE CIRCUMFLEX CORONARY-ARTERY FROM THE RIGHT SINUS OF VALSALVA AS A CAUSE OF ISCHEMIA AT OLD-AGE

The ease of a patient with an anomalous origin of the circumflex coron ary artery causing myocardial ischemia and infarction is presented. Ev en though the anomalous artery was not located between aorta and pulmo nary artery, this anomaly, which is usually considered benign, was res ponsible for the ischemic symptoms. Transesophageal echocardiographic study demonstrated an acute angulation at the proximal portion of this abnormal vessel, very close to its origin from the right coronary sin us, which we believe caused the abnormality in coronary now in this pa tient.