A rare cause of angina in middle agged man

The congenital anomalies of the origin of the coronary arteries are rare entities that can be asymptomatic or can manifest with sudden death.  The present case shows a  46 years old male with no history of past illnesses who consults for precordial pain. The coronary angiography showed an anomalous origin of the right coronary of the left sinus of Valsalva, this finding was confirmed by a cardiac CT scan. Patient underwent surgery for surgical reimplantation of the right coronary artery with good clinical and radiological results.