“Malignant” origin of the left coronary artery, case report




Carlos A. Martínez-Cano, Servicio de Cardiología Clínica CardioVID, Universidad Pontificia Bolivariana, Medellín, Antioquia, Colombia
Alexander Aguilar-Arias, Servicio de Medicina,Universidad Pontificia Bolivariana, Medellín, Antioquia, Colombia
Ana M. Arango-Rivas, Servicio de Medicina Interna, Universidad Pontificia Bolivariana, Medellín, Antioquia, Colombia
Catalina Baena-Gómez, Servicio de Medicina, Universidad Pontificia Bolivariana, Medellín, Antioquia, Colombia


Anomalous origin of the coronary arteries are very infrequent, however their diagnosis has been increasing due to the increase in the use of coronary computer tomography angiography (CCTA) within the algorithm of patients with suspected coronary disease; We present a case of a patient with acute on chronic chest pain in whom an anomalous origin was diagnosed with an interarterial “malignant” course of the left coronary artery, who was taken to surgery with complete improvement of symptoms and quality of life.



Keywords: Congenital heart disease. Chest pain. Coronary arteries. Left coronary.