Percutaneous exclusion of a giant coronary artery aneurysm using two covered stents.

The treatment of coronary aneurysm (CA) is controversial. Some authors recommend medical treatment, while others favor surgery. Recently, coronary stenting has played an increasingly important role in the treatment of CA. We report a case of a 70-year-old male admitted to our hospital with an acute myocardial infarction of undetermined location (previous known left bundle branch block) and in whom cardiac catheterization showed a proximal 80% stenosis in the left anterior descending artery followed by a giant fusiform CA measuring 18 x 30 mm. We decided to exclude the aneurysm using a covered stent and achieved an excellent angiographic result.