PMC2840734_01
Two-dimensional echocardiography in short-axis view at the level of aortic valve showed a large aneurysm (arrow heads; 18 mm) involving the proximal left anterior descending artery (LAD) with the presence of thrombus (arrow)
APC-01-59-g001.jpg
PMC2840734_01_APC-01-59-g001.jpg
F0001
Her echocardiography done on admission revealed a giant aneurysm of proximal left anterior descending artery (LAD) measuring around 18 mm with evidence of a thrombus [Figure 1].
Follow-up echocardiography in short-axis view at the level of aortic valve demonstrating increase in the size of aneurysm (arrow heads) with complete resolution of the thrombus
APC-01-59-g002.jpg
PMC2840734_01_APC-01-59-g002.jpg
F0002
A follow-up echocardiogram, done 2 months later, revealed increase in the size of aneurysm (22 mm) with complete resolution of thrombus [Figure 2].
Left coronary angiography in posterior-anterior projection with cranial angulation shows a giant aneurysm (arrow) measuring 25 mm involving the left anterior descending artery (LAD) just after the origin. Note faint opacification of the distal LAD (arrow heads)
APC-01-59-g003.jpg
PMC2840734_01_APC-01-59-g003.jpg
F0003
Her coronary angiography revealed a giant aneurysm (25 mm) just after the origin of LAD with swirling of contrast within the aneurysm [Figure 3].
Left coronary angiography in the left anterior oblique projection shows a normal left main coronary artery and a normal non-dominant left circumflex artery. Arrow points toward the giant aneurysm of the LAD
APC-01-59-g004.jpg
PMC2840734_01_APC-01-59-g004.jpg
F0004
LAD [Figure 4]. Left main coronary artery (LMCA) and left circumflex coronary artery (LCX) were normal; right coronary artery (RCA) was dominant and normal, supplying collaterals to the LAD [Figure 5].
Right coronary angiography in the right anterior oblique view shows a normal dominant right coronary artery with collaterals (arrows) supplied to the left anterior descending artery (LAD)
APC-01-59-g005.jpg
PMC2840734_01_APC-01-59-g005.jpg
F0005
LAD [Figure 4]. Left main coronary artery (LMCA) and left circumflex coronary artery (LCX) were normal; right coronary artery (RCA) was dominant and normal, supplying collaterals to the LAD [Figure 5].