Coronary artery anomalies are identified in approximately 1% of patients who undergo angiography; among these, circumflex branch agenesis represents 0.003%. A 38-year-old woman was brought to our emergency department with clinical findings suggestive of acute myocardial infarction. Absence of circumflex branch was reported during angiography. Further analysis showed great vessel abnormalities: the presence of a left superior vena cava, a left arterial trunk of abnormal origin, and a small cerebral aneurysm. To our knowledge, this is the only reported case with such vascular anomalies.

Circumflex Coronary Artery Agenesis Associated With Thoracic Great Vessels Anomalies / Coppi, Francesca; Roversi, Sara; Giuliani, Enrico; Sansone, R.; Sangiorgi, G. m.; Modena, Maria Grazia; Barbieri, Alberto. - In: JOURNAL OF THORACIC IMAGING. - ISSN 0883-5993. - STAMPA. - 26(2011), pp. 9-11.

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