A Large-Sized Left Main Coronary Artery with Quadfurcation: a Rare Anatomy
Khalid, N.; Chhabra, L.; Ahmad, S.A.; Sareen, P.
Connecticut Medicine 79(4): 211-212
2015
ISSN/ISBN: 0010-6178 PMID: 26259298 Document Number: 684463
A 63-year-old woman presented to the emergency department with chest pain. She subsequently underwent an evaluation with a diagnostic coronary angiogram that demonstrated a rare coronary anatomy. Instead of its usual bifurcation into two main branches--a left anterior descending and a left circumflex artery--her left main coronary artery quadfurcated into four branches: a left anterior descending artery, a left circumflex artery, and two ramus intermedii arteries. Possible implications of this unusual finding are discussed.