Massive coronary artery aneurysm with acute myocardial infarction

Abstract

An elderly man presenting with acute inferior myocardial infarction had a giant right coronary artery aneurysm which was identified at angiography. The patient was successfully treated with emergency coronary bypass surgery after failure of medical therapy. The case was remarkable for the large size of the aneurysm and the rather dramatic presentation. With improvement in clinical recognition of this problem, the natural history, prognosis and appropriate therapy may become better defined.