Abstract
Sudden cardiac death (SCD) in young individuals raises serious concern, prompting physicians to explore multiple etiologies. Coronary artery anomalies are rare congenital heart defects, affecting a small percentage of the population, and are a known cause of SCD in young individuals. We present a case of sudden cardiac arrest in a 36-year-old male athlete with an anomalous left main coronary artery (ALCA) arising from the right coronary sinus, a rare anomaly that has been associated with SCD in young athletes during intense exertion. This cause underscores the importance of considering congenital artery anomalies in young patients presenting with SCD.