Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 14, Number 2, February 2023, pages 76-79

Left Main Coronary Artery Aneurysm With Rare Quadfurcation Anatomy

Figures

Figure 1.
Figure 1. Left anterior oblique caudal (LAO caudal) view showed aneurysmal left main (LM) coronary artery (white arrow) with four branches (quadfurcation). Blue circle: first ramus intermedius artery, blue triangle: second ramus intermedius artery, angiographically mild luminal irregularities of the left anterior descending, first and second ramus intermedius, and left circumflex coronary arteries. White rectangle: left anterior descending artery; blue rectangle: left circumflex artery.
Figure 2.
Figure 2. Angiogram taken 2 years later showed no change from prior angiogram. White arrow: aneurysmal left main coronary artery; blue circle: first ramus intermedius artery; blue triangle: second ramus intermedius artery; white rectangle: left anterior descending artery; blue rectangle: left circumflex artery.