%0 Journal Article
%T Congenital anomaly of coronary artery: absence of left circumflex artery
%A Ahsan Iqbal
%A Amna Saleem Ahmed
%A Muhammad Asif Iqbal
%A Muhammad Shabbir Rawala
%A Praveen Kumar Budde
%A Syed Bilal Rizvi
%J Journal of Community Hospital Internal Medicine Perspectives
%D 2019
%R https://doi.org/10.1080/20009666.2019.1593784
%X ABSTRACT The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. Congenital absence of the left circumflex artery is usually a benign condition but can cause symptoms of exertional angina. We present a case of a 59-year-old female who presented with complaints of chest pain. She was evaluated by the cardiology service. An invasive angiogram identified the absence of the circumflex artery, a large right coronary artery, and large septal and diagonal branches of the left main coronary artery possibly as a compensatory mechanism to supply blood to the LCx territories. It is important to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia
%U https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1593784