[Incidental detection of coronary artery anomalies].

A retrospective study is presented analyzing the clinical findings in 15 patients in the age range of 18-58 years (12 men, 3 women) with anomalous origin of the coronary arteries diagnosed from 5500 coronary arteriograms performed in the authors' institute IKEM. In 4 patients the anomaly was isolated, in 11 patients associated, and that in 6 with coronary disease, in 3 with rheumatic disease, and in 2 patients with atrial septal defect. Although the disease is congenital, its manifestations appeared only in the 16th to 54th year of life, presenting a nonspecific clinical picture, physical, ECG and XR findings. Changes in the ergometric test and left ventriculography were determined by the associated disease. Diagnosis of the anomaly was established by selective coronarography.