PMC4939256_01
Right anterior oblique coronary angiographic view (A), showing a normal left main coronary artery (LMCA). Left anterior oblique coronary angiographic image (B), showing a normal right coronary artery (RCA)
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F1
The patient had undergone coronary angiography in July 2001 because of angina pectoris, which revealed normal coronaries with a normal left main anatomy (Figure 1).
Right anterior oblique coronary angiographic view (A), showing a saccular aneurysm of the left main coronary artery with 90% stenosis in the proximal portion of the left anterior descending (LAD) and, 99% stenosis in the left circumflex (LCx) arteries. Left anterior oblique coronary angiographic image (B), showing an 80% stenosis in the middle part of the right coronary artery (RCA)
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F2
Coronary angiography revealed a saccular aneurysm of the left main coronary artery, measuring 21 x 18 mm with 90% stenosis in the proximal portion of the left anterior descending, 99% stenosis in the proximal portion of the left circumflex, and 80% stenosis in the middle part of the right coronary artery (Figure 2).