RECURRENT MYOCARDIAL-INFARCTION CAUSED BY A GIANT CORONARY ANEURYSM

We report on a patient with a giant aneurysm arising from the right co ronary artery leading to infarction due to a steal phenomenon. Emergen cy coronary angiography was performed. The orifice of the aneurysm was occluded by balloon catheter restoring blood flow and resolving ische mia. Aneurysmectomy was done subsequently. The patient recovered very soon, and the following course was uneventful. This case illustrates t hat occasionally causes other than usual coronary atherosclerosis may lead to acute coronary syndromes. (C) 1998 Elsevier Science Ireland Lt d.