title: Anomalous Origin of Left Circumflex Artery.
abstract: BACKGROUND
  The coronary anatomic variation of the left circumflex artery (LCx) is considered as the most common anatomic variation with a separate ostium from the right sinus, and very unusual variation as a proximal branch of right coronary artery (RCA).
  
  
  METHODS
  We report two cases, the first case is a 64-year-old man with chest pain and with history of hypertension, obesity, dyslipidemia and current smoker, and the second case is a 67-year-old who presented to the emergency department with chest pain and with a past medical history of arterial hypertension and type 2 diabetes mellitus. In the coronarography of the first case is detected an ectopic left circumflex coronary artery from the right coronary sinus with stenotic changes in RCA and LCx. The second case in the coronary angiography revealed an ectopic left circumflex coronary artery from the proximal part of the right coronary artery with stenotic changes in LAD, RCA and LCx. Based on guidelines for revascularization our patients successfully underwent treatment procedures. We present two cases that because of the atherosclerotic coronary artery disease leads to the need of coronarography find out the presence of coronary artery anomalies.
  
  
  CONCLUSIONS
  During the coronarography we should think about coronary artery anomaly or missing artery knowing that type of these anomalies, considering that may be a contributing factor in the development of the atherosclerosis determines the method of the treatment.
authors: Clinic for Cardiology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo.
authors: Hajdin
authors: H
authors: Çitaku
authors: Clinic for Cardiology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo.
authors: Lulzim
authors: L
authors: Kamberi
authors: Clinic for Cardiology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo.
authors: Daut
authors: D
authors: Gorani
authors: Clinic for Cardiology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo.
authors: Dardan
authors: D
authors: Koçinaj
authors: Clinic for Cardiology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo.
authors: Xhevdet
authors: X
authors: Krasniqi
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008875:Middle Aged
keywords: anomalous origin; left circumflex artery