We found two patients with anomalous origin of coronary arteries among 450 patients who underwent coronary angiography at our clinic. The case presented herein is a rare anomaly in which the circumflex coronary artery arises as a terminal extension of the right coronary artery. The main stem and obtuse branches of the artery were normal and well-developed. The patient was a 64-year-old man who was mainly suffering from intermittent claudication of his left leg, and the coronary anomaly was asymptomatic.
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