Anomalous Left Circumflex Artery Arising from the Right Coronary Artery: Successful Dual-Vessel Stenting in Myocardial Infarction

Anomalies of the coronary arteries are rare finding during angiography. We report a case of a woman of 56 years of age, with uncontrolled diabetes and hypertension presented with non-ST elevation myocardial infarction (NSTEMI). Angiography revealed a total occlusion of proximal right coronary artery (RCA) and a severe stenosis of anomalous left circumflex artery (LCX) originating from the proximal RCA. Percutaneous coronary intervention (PCI) through the right radial approach successfully restored flow in both vessels with the help of drug-eluting stents. This case highlights the critical importance of identifying anomalous coronary anatomy in acute coronary syndromes to ensure comprehensive revascularization and optimize outcomes in high-risk patients.