In this episode, we review the anatomy of normal coronary arteries and provide a systematic framework for thinking about coronary artery anomalies. How do you define proximal vs mid vs distal RCA, LAD, and LCX? What are the normal lengths of the RCA, LAD, and LCX? Which coronary artery anomalies have no clinical significance, and which are associated with sudden cardiac death? Which types of anomalous aortic origin of a coronary artery (AAOCA) are associated with higher risk of sudden cardiac death? How do the indications for surgery for anomalous right coronary artery from the left cusp (ARCA-L) differ from the indications for surgery for anomalous left coronary artery from the right cusp (ALCA-R)? How do the indications for surgery for anomalous right coronary artery from the pulmonary artery (ARCAPA) differ from indications for surgery from anomalous left coronary artery from the pulmonary artery (ALCAPA)? Tune in for answers to these questions.

Difficulty Level: Intermediate

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