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Angiography Demonstrating a Giant Left Circumflex Coronary Artery Aneurysm

Grigorios Tsigkas, MD, PhD;  Georgios Vasilagkos, MS;  Petros Zampakis, MD, PhD;  Periklis Davlouros, MD, PhD

09/01/2021

Introduction

Video supplement to “A Giant Left Circumflex Coronary Artery Aneurysm” by Tsigkas et al. (September 2021 Clinical Images).

A patient was referred for aortic valve replacement and aneurysm resection; however, the aneurysm was deemed to be non-resectable due to severe calcification, thus posing a high operative risk. The patient eventually underwent transcatheter aortic valve implantation. Eleven years later, coronary angiography depicted a giant coronary artery aneurysm measuring 63 mm in diameter and containing intraluminal thrombus. To our knowledge, this is the largest giant coronary artery aneurysm reported in the literature.

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