Giant Left Main Coronary Artery Aneurysms Presenting as STEMI.

ABSTRACT:

Background

Giant coronary aneurysms are rare and may present with acute myocardial infarction, posing significant diagnostic and therapeutic challenges.

Case summary

We report the case of a 45-year-old woman residing in a high-altitude region who presented with anterior ST-segment elevation myocardial infarction. Initial management included thrombolysis and transfer for rescue angiography, which revealed a giant fusiform aneurysm of the left main coronary artery with thrombotic occlusion of the proximal left anterior descending artery. Additional aneurysms and ectasia were identified in other coronary vessels. Computed tomography confirmed the findings. Surgical resection and revascularization were proposed but were declined by her. She died 6 months later, likely from cardi

SUBMITTER: Chura AC 

PROVIDER: S-EPMC12714532 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature