title: Anomalous origin of 4 coronary ostia from the right sinus of Valsalva in a patient with hypertrophic cardiomyopathy.
abstract: Anomalous origin of 4 separate coronary ostia from a single coronary sinus has rarely been reported. We report what is to our knowledge a previously undescribed variation characterized by the left anterior descending, left ramus, left circumflex, and right coronary arteries originating from separate ostia in the right sinus of Valsalva. In addition, the autopsy disclosed features of hypertrophic cardiomyopathy, rarely associated with congenital coronary anomalies.
authors.affiliation: Department of Cardiovascular Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000, USA.
authors.forename: L
authors.initials: L
authors.lastname: Beach
authors.forename: A
authors.initials: A
authors.lastname: Burke
authors.forename: D
authors.initials: D
authors.lastname: Chute
authors.forename: R
authors.initials: R
authors.lastname: Virmani
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000473:pathology*; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000002:abnormalities* / Q000473:pathology