title: Anomalous origin of the left anterior descending and circumflex coronary arteries by two separate ostia from the right sinus of Valsalva.
abstract: We report a case of absence of the left main coronary artery with the left anterior descending and circumflex coronary arteries arising by two separate ostia from the right sinus of Valsalva in a patient without other congenital cardiovascular malformations. The clinical and angiographic features of this exceedingly rare anomaly are described with a brief review of previously documented cases.
authors.affiliation: Istituto di Cardiologia, Università degli Studi, Milan, Italy.
authors.forename: A L
authors.initials: AL
authors.lastname: Bartorelli
authors.forename: V
authors.initials: V
authors.lastname: Capacchione
authors.forename: P
authors.initials: P
authors.lastname: Ravagnani
authors.forename: M
authors.initials: M
authors.lastname: Pepi
mesh_terms: D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012850:Sinus of Valsalva / Q000002:abnormalities*; D014463:Ultrasonography