Dr Muhammad Jahanzeb, Dr Muhammad Musab Abdullah, Dr Hani Saeed, Asif Raza Gill
Abnormal source of left coronary artery from right side of aorta is uncommon condition. However this condition is not reported commonly. In this case 48 years patient presented with chest pain. On examination no significant findings were noted. All investigation was remarkable. Electrocardiogram display fluctuation of left bundle branch arrangement with 2nd sinus tachycardia variations. Coronary angiogram showed anomalous coronary arteries arising from right coronary sinus along with coronary cameral fistula connecting the obtuse marginal to left ventricle with no significant disease of coronaries.This case report the association of both these conditions (Khalighi et al., 2018). Keywords: Abnormal left major coronary artery ascending from the right side of the aorta.