Abnormal coronary artery connection to the left ventricle in a patient with coronary artery disease.

We report the case of a 53-year-old man who presented with typical angina and dyspnea on exertion. Besides coronary artery disease based on atherosclerosis, the patient demonstrated a rare coronary anomaly consisting of an atypical connection of the left coronary system with the left ventricle. Both pathologic conditions could be treated successfully by cardiac operations. Besides conventional coronary angiography examinations, cardiac computed tomography angiography (CCTA) studies help to demonstrate the complex anatomy in congenital coronary anomalies.