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Giant coronary artery aneurysm in an adult
  1. Gailin Bronson Sebastian,
  2. Jithu Sam Rajan,
  3. Ashraf Safiya Manzil
  1. Department of Cardiology, Pariyaram Medical College, Kannur, Kerala, India
  1. Correspondence to Dr Gailin Bronson Sebastian, Department of Cardiology, Pariyaram Medical College, Kannur, Kerala 670503, India; gailinbs{at}yahoo.co.in

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A 56-year-old man presented with effort angina of 2 months’ duration. Coronary angiogram revealed a tight tubular stenosis in proximal left anterior descending artery (LAD), followed by a giant, wide-mouthed, saccular aneurysm measuring 16×14 mm (figure 1). As the cardiac surgeons speculated difficulty in accessing the site, a percutaneous coronary intervention was planned. The left main coronary artery was engaged using an 8F Judkins left 3.5 guiding catheter. After predilatation with a 2.5×10 mm balloon (Sprinter) and an intravascular ultrasound (IVUS) study (figures 2 and 3), a 4×16 mm polytetrafluoroethylene (PTFE)-covered stent (Graft …

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