Coronary multiple aneurysm in a young male. Diagnostic techniques

Coronary aneurysms are uncommon. The most frequent etiologies are atheroscl erotic and congenital, although there are several other rare causes. Myocar dial infarction and sudden death may be the initial manifestations which ar e usually a consequence of aneurysm complications such as rupture or distal embolization. Although coronariography is the gold standard diagnostic tec hnique, coronary aneurysm may also be detected by non-invasive methods such as ultrasonography and nuclear magnetic resonance. We report the case of a young male with hypercholesterolemia who presented cardiac arrest as the first clinical manifestation. Ultrasonography and MRI revealed the presence of multiple coronary aneurysm. This case illustrates the usefulness of non-invasive techniques for the diagnosis of coronary an eurysm.