Beyond the STEMI; Unmasking A Coronary Artery Aneurysm

Coronary artery aneurysms (CAAs) are relatively rare defects that range significantly in clinical presentation, most often discovered in adults with concomitant coronary artery disease. There remains no general consensus on the optimal management of CAAs. A vast majority of cases reported in literature are managed operatively or with percutaneous stenting. We however demonstrate a case of a CAA discovered upon angiography for a STEMI managed entirely with intracoronary thrombolytics and intravenous heparin, followed by a repeat coronary angiography that confirmed re-opening of the occluded vessel now with distal coronary blood flow. 1. Matta AG, Yaacoub N, Nader V, Moussallem N, Carrie D, Roncalli J. Coronary artery aneurysm: A review. World J Cardiol. 2021 Sep 26;13(9):446-455. doi: 10.4330/wjc.v13.i9.446. PMID: 34621489; PMCID: PMC8462041. 1. Kawsara, A, Núñez Gil, I, Alqahtani, F. et al. Management of Coronary Artery Aneurysms. 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