Anomalous origin of the right coronary artery from the left coronary sinus.

Surgical treatment for the anomalous origin of the right coronary artery from the left coronary sinus remains a topic of debate. A 61-year-old male patient, presenting with a single episode of chest pain, was diagnosed with anomalous origin of the right coronary artery from the left coronary sinus. The patient underwent right internal mammary artery coronary bypass surgery without ligating the proximal right coronary artery. Postoperatively, his condition remained uncomplicated and asymptomatic. Sudden death rate is high even in asymptomatic patients therefore the condition be subjected to surgical treatment after diagnosis.