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Coronary Artery Anomalies Case Reports are an essential part of cardiovascular literature because they provide detailed insights into rare congenital abnormalities involving the coronary arteries. These anomalies may affect the origin, course, branching pattern, or termination of the coronary circulation. Although many are discovered incidentally and remain clinically insignificant, some can lead to myocardial ischemia, arrhythmias, syncope, and sudden cardiac death. By documenting unique presentations and treatment outcomes, case reports help clinicians recognize these uncommon conditions and improve patient care. Understanding Coronary Artery Anomalies Coronary artery anomalies are congenital variations that differ from the normal anatomical pattern of coronary blood supply. They include anomalous origin from the opposite sinus, single coronary arteries, myocardial bridging, coronary fistulas, and abnormal courses between the great vessels. Some anomalies are entirely benign, while ...