Quadrifurcation of Left Coronary Artery — An Extremely Rare Variation that can Lead to Acute Coronary Artery Syndrome

Coronary arteries present many variation and those variations have been well documented. Some of the variations of these arteries are life threatening since they compromise the myocardial irrigation and also pose challenges in per cutaneous cardiac catheterizations. A rare variation of left coronary artery was noted during routine dissection classes. The left coronary artery had a diameter of 6mm at its origin and after a course of 4mm, it quadrifurcated. Among the four branches, one was anterior interventricular, one was circumflex and the other two were intermediate ventricular branches. The quadrifurcation might be of interest to cardiologists and radiologists.