title: Anomalous origins of the left coronary arteries from the right sinus of valsalva with an unusual course.
abstract: We report and attempt to classify a previously undescribed coronary artery anomaly. Our patient had all three coronary arteries arising from a common ostium in the right sinus of Valsalva, with an unusual distribution to the left coronary artery system: the anomalous left circumflex system taking an intraseptal (intramyocardial) course and the anomalous left anterior descending system taking an interarterial (between the great vessels) course.
authors.affiliation: Department of Medicine, St. Vincent's Medical Center of Richmond, Staten Island, New York 10310, USA.
authors.forename: R S
authors.initials: RS
authors.lastname: Grodman
authors.forename: T J
authors.initials: TJ
authors.lastname: Vazzana
authors.forename: T N
authors.initials: TN
authors.lastname: Chu
authors.forename: A
authors.initials: A
authors.lastname: Satyanarayana
authors.forename: D A
authors.initials: DA
authors.lastname: Bloomfield
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000145:classification / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015635:Radionuclide Ventriculography; D012850:Sinus of Valsalva / Q000002:abnormalities*