Abstract
Anomalous origin of right coronary artery from left coronary sinus associated with aneurysm of aortic root``Dear Editor, We read with great interest the case report of Tuleutayev and co-authors (1) published in Heart, Vessels and Transplantation.In this case report, authors present a 61-year-old male patient admitted to the emergency department with chest pain.Multidetector computed tomography (MDCT) revealed aortic root aneurysm and right coronary artery (RCA) origin anomaly with related myocardial infarction.Images of a very good quality and satisfying information before and after surgical treatment were presented.However, in this case, no images or findings showing the pressure limiting the right coronary artery (RCA) blood flow were demonstrated.Coronary artery anomalies are congenital pathologies with a low prevalence of 1-2% in the general population (2).Despite a low prevalence, coronary artery anomalies are the second most common cause of sudden cardiac death in young patients (3).Diagnosis of coronary artery anomalies has increased with the use of advanced MDCT technology (4).Shriki et al. (5) classified the coronary artery anomalies as two major subgroups: hemodynamically significant and hemodynamically nonsignificant.As mentioned in this classification, the main factor determining the clinical importance of coronary artery anomalies is their hemodynamic significance.Coronary artery output anomalies are benign anomalies when they do not affect hemodynamics, and the most