literature. Paroi Arterielle 1975;3:55-9. 4. Yip HK, Chen MC, Wu CJ, Yeh KH, Fu M, Hang CL, et al. Primary angioplasty in acute inferior myocardial infarction with anomalous-origin right coronary arteries as infarct-related arteries: focus on anatomic and clinical features, outcomes, selection of guiding catheters and management. J Invasive Cardiol 2001;13:290-7. 5. El-Menyar AA, Das KM, Al-Suwaidi J. Anomalous origin of the three coronary arteries from the right aortic sinus Valsalva: role of MDCT coronary angiography. Int J Cardiovasc Imaging 2006;22:723-9. 6. Fineschi M, Del Sordo M, Leosco D, Casini S, Bravi A. A rare anatomic variation of the anomalous origin of all three major coronary arteries from the right sinus of Valsalva. G Ital Cardiol 1998;28:564-6. 168 clinical significance of this case are emphasized. Jung-Jin Lee, et al. REFERENCES 1. Angelini P. Coronary artery anomalies--current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines. Tex Heart Inst J 2002;29:271-8. 2. Hutchins GM, Miner MM, Boitnott JK. Vessel caliber and branch-angle of human coronary artery branch-points. Circ Res 1976;38:572-6. 3. Liu LB, Richardson T, Taylor CB. Atherosclerotic occlu- sions in anomalous left circumflex coronary arteries. A report of 2 unusual cases and a review of pertinent Yonsei Med J Vol. 50, No. 1, 2009