Aneurysm in the coronary trunk is an uncommon angiographic finding, with few cases reported. The mortality is high and the therapeutics are still uncertain. The aneurysm of the left main coronary artery is a rare and the worse cause of coronary artery disease. We report a case of a 61-year-old-female patient admitted in the Hospital Emergency Unit with a history of acute coronary syndrome. Coronary angiography showed a giant aneurysm in the left main coronary artery. The patient was submitted to coronary artery bypass grafting and remains asymptomatic after a one-year follow-up.
Coronary aneurysm, surgery; Coronary disease; Coronary vessels, surgery