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Giant aneurysms of the major coronary arteries
  1. Thottuvelil Narayanan Sunil Roy,
  2. Nagham Jafar Saeed,
  3. Anil Kumar Rajappan
  1. Department of Cardiology, Belhoul Speciality Hospital, Dubai, UAE
  1. Correspondence to Dr Sunil Roy, Department of Cardiology, Belhoul Speciality Hospital, PO box 5527, Dubai, UAE; sunilroytn{at}hotmail.com

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A 48-year-old woman with a history of hypertension and hypercholesterolaemia presented with a history of progressive exertional angina for 3 months and rest angina for 3 days. Her ECG showed deep T wave inversion in precordial leads, but the cardiac enzymes were negative. Coronary angiography was performed and it revealed triple-vessel coronary artery disease with large aneurysms of the proximal left anterior descending coronary artery (figures 1 and 2; supplementary video 1) and the right coronary artery (figure 3; supplementary video 2) with poor distal flow. She was stabilised on medical therapy and subsequently underwent ligation of the aneurysms and coronary artery bypass surgery using three grafts on cardiopulmonary bypass. …

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