Congenital coronary aneurysms with angina pectoris and myocardial infarction treated with saphenous vein bypass graft

Abstract A young woman with bilateral congenital coronary arterial aneurysms associated with myocardial infarction and angina pectoris was successfully treated with a saphenous vein bypass graft. Possible clinical and laboratory manifestations of such aneurysms are discussed, and possible complications of saphenous vein graft surgery in treatment of this lesion are noted. The finding of coronary arterial aneurysms during coronary arteriography warrants close follow-up study since in many patients the lesion appears to progress to myocardial infarction.