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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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