%0 Article %A Zachary Oman %I Wolters Kluwer Medknow Publications %D 2017 %G English %B Heart and Mind %@ 2468-6476 %@ 2468-6484 %T Symptomatic high-risk congenital coronary anomaly %U http://www.heartmindjournal.org/article.asp?issn=2468-6476;year=2017;volume=1;issue=4;spage=149;epage=152;aulast=Oman %X Anomalous coronary arteries are rare entities with certain categories being potentially malignant with the risk of sudden cardiac death. We present two cases of the highest risk variant consisting of an anomalous left coronary artery arising from the right sinus of Valsalva traversing between the aorta and pulmonary artery leading to recurrent syncope and chest pain in middle-aged patients.