Abstract
Coronary artery aneurysms are reported between 0.1–4.9% in coronary angiographies. Vessel wall weakening, inflammation and endothelial damage play a role in their development. They may compromise the coronary flow and play a source for recurrent embolization of thrombus fragments. Here we report a patient with coronary artery aneurysm in left anterior descending artery with a critical thrombosed proximal segment and resulting in acute myocardial infarction. Coronary artery aneurysm is managed with polytetrafluoroethylene (PTFE) covered stent and proximal infarct related segment is treated with a bare metal stent. Coronary patency is provided without any obvious complication at the end of the procedure.
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