Rare Combination of Partial ARCAPA and Dual LAD: Insights into Complex Coronary Variants

This case report highlights the coexistence of two rare coronary artery anomalies assessed by computed coronary tomography angiography (CCTA). We present the case of a 51-year-old hypertensive patient with a type II double left anterior descending artery (LAD) and an anomalous infundibular branch originating from the pulmonary artery (partial ARCAPA). This association may have contributed to a limited ischemic burden, explaining the patient's asymptomatic state. Knowledge of these rare coronary anatomies is essential for accurate diagnosis and management.