Nair, KTharakan, JAKrishnamoorthy, KM2012-12-042012-12-042005CANADIAN JOURNAL OF CARDIOLOGY. 21; 4; 367-369https://dspace.sctimst.ac.in/handle/123456789/825A 72-year-old hypertensive man with diabetes. had a previously undiagnosed pattern of coronary artery. distribution: the ramus intermedius from the left sinus, and the separate origin of the left anterior descending artery, left circumflex artery and right coronary artery from the right sinus. A unique form of branching, a hybrid distribution, was also noted: the left anterior descending artery giving off a right ventricular branch and septals arising from the ramus. No intervention was planned due to the minimal disease observed with angiography and the absence of an interarterial course.