Abstract
A 62-year-old man was referred due to ongoing chest pain. Clinical examination revealed a troponin-positive non-ST elevation myocardial infarction, and a coronary angiogram displayed a severe stenosis of the right coronary artery due to a thrombotic aneurysm. In addition, the left anterior descending artery showed a 1.5-cm aneurysmatic dilation with an ostial stenosis of 60%. Computed tomography (Fig 1A,arrows) and magnetic resonance imaging (Fig 1B, arrows) showed multiple aneurysms involving the noncoronary and the left coronary sinus of Valsalva.
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