Anomalous origin of an accessory coronary artery from the main pulmonary artery: Report of a case with arrhythmia, precordial pain and left heart failure

Anomalous origin of the coronary arteries from the main pulmonaryartery is a rare congenital malformation. While this anomalyrarely produces cardiac symptoms, the more frequently encounteredanomalous left coronary artery arising from the main pulmonaryartery is poorly tolerated, the majority of patients dying ininfancy. This report describes a symptomatic sixty-yearold manwith anomalous posterior descending coronary artery arisingfrom the pulmonary trunk and details the angiographic findings.