A Rare Anatomical Anomaly: Entire Coronary Circulation Arising from the Right Sinus of Valsalva
Congenital coronary anatomical anomalies pose dire negative consequences and are a significant financial burden. We report of an 82-year-old male who presented to us with dyspnea and lower extremity edema. He underwent further imaging workup and subsequent coronary angiography which revealed his entire left coronary circulation arising from the Right Sinus of Valsalva, a very rare anatomical variant. Surgical intervention was not recommended due to patient being relatively stable and asymptomatic. Anatomical variants are diverse thereby causing greater difficulty, specifically in terms of deciding between surgical treatment versus medical management. This case highlights the importance of always keeping anatomical variants as differentials for cardiac complications and utilizing advanced imaging in diagnosing such variants.