Sequential coronary angiograms unveil the progression of an acquired coronary aneurysm

Few reports are available regarding the natural history of coronary aneurysms. The consensus is that they may enlarge overtime and eventually rupture. The possibility of a catastrophic evolution supports invasive management, but this is mostly based on autoptical reports. We present the case of a 56-year-old male, smoker and affected by hypertension. He was admitted for an anterior ST-elevation myocardial infarction (STEMI) in three-vessel disease. Thrombotic occlusion of proximal left anterior descending artery (LAD) was apparent (Supplementary material online, Video S1 ). Successful percutaneous thrombus aspiration and bare-metal stent (BMS) implantation (3.5 × 23 mm) was performed (Supplementary material online, Video S2 ). A small …