ABSTRACT
Coronary artery aneurysms and ST-segment elevation myocardial infarction
(STEMI) are seldom encountered in clinical practice and pose a
management challenge. We describe the case of a patient diagnosed with
anterior wall myocardial infarction with a complete occluded left main
coronary artery (LMCA). After the establishment of partial blood flow
within the LMCA was achieved, a 6 x10 mm aneurysm was discovered in the
LMCA. To the best of our knowledge, this case appears to be the first
successful percutaneous treatment of a completely obstructed aneurysmal
LMCA.
Keywords: coronary artery aneurysm; left main coronary artery,
ST-segment elevation myocardial infarction, stent