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Fusiform aneurysm of left coronary artery presenting as acute myocardial infarction
  1. K T Sajeer,
  2. Kader Muneer,
  3. C G Sajeev
  1. Department of Cardiology, Government Medical College, Kozhikode, Kerala, India
  1. Correspondence to Dr K T Sajeer, Department of Cardiology, Government Medical College, Kozhikode, Kerala 673008, India; drsajeerkt{at}

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A 28-year-old man with no traditional coronary risk factors presented with history of retrosternal chest pain since 1 h. Physical examination revealed features of acute pulmonary oedema. Electrocardiogram showed acute anterior wall myocardial infarction. Coronary angiogram showed a large fusiform aneurysm (10 mm×6 mm) of mid-left anterior descending coronary artery with high thrombus burden producing total occlusion of vessel (figure 1 A, B and online supplementary movie 1). Thrombus aspiration was done with 5.4 F- thrombus vacuum aspiration catheter (TVAC) followed by intracoronary …

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