Abstract
Coronary artery aneurysm represents a challenging and potentially fatal disease. We present the case of a giant right coronary artery aneurysm treated surgically after percutaneous intervention and fracture of the stent. The aneurism was opened and the coronary ligated proximally and distally. It was not possible to re-established continuity of the coronary artery or perform a bypass graft. An early surgical strategy would have re-established blood flow in the involved coronary artery and avoided chronic ischemia of the supplied myocardial territory.
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