PMC4631746_01
A - Initial angiogram from June 2011 - critical LAD stenosis in the mid and distal segment of the vessel. B - Angiography from September 2011 - final result (AP cranial view). C, D - Angiogram performed by the end of January 2012: a coronary aneurysm is seen in the distal LAD segment (AP caudal and RAO cranial views)
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A 58-year-old man with a history of arterial hypertension, dyslipidemia and active smoking was admitted to our institution in September 2011 for recurrent angina after previous plain old balloon angioplasty (POBA) in the left anterior descending artery 3 months previously (Figure 1 A, B). However, the angiogram revealed a coronary aneurysm in the distal segment, at the site of the first inflation of the DEB (Figure 1 C, D).