Severe ischemia in an elderly patient with anomalous origin of the right coronary artery from the left main.

A 67-year-old male ex-smoker with hypertension was referred with a history of dyspnea and chest pain. Physical examination and electrocardiogram were normal. An exercise stress test was performed, and the patient experienced dyspnea with ST-segment elevation in the inferior leads [ (A) ][1].[][1]