Endovascular management of giant coronary artery aneurysm.

Coronary artery aneurysms defined as localized coronary dilations with diameters atleast 1.5 times the diameters of adjacent normal coronary segments.1 It is commonly seen secondary to atherosclerosis but has also been reported in patients who have vasculitis (Kawasaki syndrome), connective tissue disorders (Ehlers-Danlos or Marfan syndrome), and in patients who have undergone interventional procedures.2–5 A growing incidence of coronary artery aneurysms have been recently described after implantation of drug-eluting stent (DES).6–8 We report one such case which was treated successfully using a covered stent.