Anomalous origin of the right coronary artery from the left anterior descending coronary artery.

An 88 year old woman with systemic hypertension presented with progressive hoarseness due to the presence of a thoracic aortic aneurysm (TAA). She had not experienced any chest pain. As part of her preoperative evaluation, coronary angiography was performed. During coronary angiography, the catheter for the right coronary artery (RCA; 4 French, Judkins RCA 4.0) could not engaged the ostium of the RCA and the injection of contrast medium in the right sinus of Valsalva …