46 Congenital Coronary Anomalies Joyce Tawfik Johnson, Matthew Harris, Robert H Anderson, Diane E Spicer, Marshall Jacobs, James S Tweddell, Julie Brothers Abstract This chapter discusses the range of congenital coronary anomalies that may be found in an otherwise structurally normal heart, first reviewing the anatomy and development of the coronary arteries before focusing on the most clinically significant anomalies of coronary artery origin and course Keywords coronary artery anomalies; surgical repair; congenital coronary artery anomalies; anomalous left coronary artery from the pulmonary trunk; coronary artery imaging; surgical repair of coronary artery anomalies; pathology of coronary artery anomalies This chapter discusses the range of congenital coronary anomalies that may be found in an otherwise structurally normal heart, first reviewing the anatomy and development of the coronary arteries before focusing on the most clinically significant anomalies of coronary artery origin and course