Abstract
To our knowledge, this is the first reported case of the development of an aneurysm of a major coronary artery secondary to a traumatic wound to the heart. The patient sustained a single shotgun pellet wound to the heart, the pellet hitting the left anterior descending coronary artery and lodging in the wall of the left atrium. The patient incurred an anteroseptal wall infarction and had an uneventful recovery. Selective coronary artery visualization performed 4 weeks and 6 months after the injury occurred revealed a localized aneurysm of the anterior descending artery. The problems presented by this lesion are discussed.
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