TY - JOUR T1 - Incidental finding of anomalous circumflex coronary artery from right coronary sinus prior to aortic valve surgery JF - BMJ Case Reports DO - 10.1136/bcr-2017-219265 VL - 2017 SP - bcr2017219265 AU - Amer Harky AU - Alexander Hof AU - Mohammad U Ahmad AU - Rakesh Uppal Y1 - 2017/03/23 UR - http://casereports.bmj.com/content/2017/bcr-2017-219265.abstract N2 - Anomalous origin of the left circumflex (Cx) artery is a common and mostly benign coronary artery anomaly. We report the case of a man aged 52 years who presented to his local hospital with progressive breathlessness on exertion and syncopal episodes. His admission transthoracic echocardiography (TTE) showed bicuspid aortic valve, severe aortic stenosis with a valve area of 0.5 cm2 and his left ventricular ejection fraction (LVEF) was 27%. His coronary angiogram showed normal coronary arteries but anomalous origin of the Cx artery from the right coronary. He underwent elective bioprosthetic aortic valve replacement. His postoperative recovery was uneventful and he was discharged on day 5 postoperatively. His TTE postoperatively showed well-seated aortic valve, improved LVEF to 51%. We here report a case of incidental finding of anomalous Cx artery arising from the right coronary while the patient is being worked up for aortic valve replacement for congenital bicuspid aortic valve. ER -