You can use the location to determined which alt is being pressed.
In order to support Alt+Ctrl we'll save the last location of the pressed Alt.
Location = 1 // Left
Location = 2 // Right
Then, once both Alt and Ctrl are pressed, do your thing. In this example, we'll just write the Alt side in the result div. You can add the "e" pressed condition as well:
if (e.ctrlKey && e.altKey && e.key == "e"){
Example
HTML
<div class="cont">
Click Alt + Ctrl<br /><br />
<div id="res"></div>
</div>
Javascript
var lastAltLocation;
document.addEventListener("keydown", function(e) {
if (e.key == "Alt"){
lastAltLocation = e.location;
}
if (e.ctrlKey && e.altKey){
if (lastAltLocation == 1){
document.getElementById("res").innerHTML = "Left";
}
if (lastAltLocation == 2){
document.getElementById("res").innerHTML = "Right";
}
}
}, false);