“…[35][36][37] By the time they are 20 years old, many individuals with aberrant LM coming from the opposite right coronary artery and the previously indicated high risk criteria have already passed away, usually during, or shortly after, strenuous exercise, which is characteristic of young, 'healthy' athletes. 38,39 However, the authors' patient presented with significant atherosclerotic changes in the LAD originating from the anomalous LM. The retroaortic route of the aberrant coronary artery suggested that the atherosclerotic changes in the coronary arteries were the true culprit in this patient's case of chest pains, rather than the abnormal artery itself.…”