Author + information
- Rhian E. Davies, DO, MSa,∗ (, )
- Amy E. Cheney, MDa,
- James M. McCabe, MDa,
- Khaldoon Alaswad, MDb and
- William L. Lombardi, MDa
- aDivision of Cardiology, University of Washington, Seattle, Washington
- bDivision of Cardiology, Henry Ford Health System, Detroit, Michigan
- ↵∗Address for correspondence:
Dr. Rhian E. Davies, University of Washington Medical Center, 1959 NE Pacific Street, Seattle, Washington 98195-6171.
A 66-year-old man with a ramus chronic total occlusion had escalating angina and a high-risk stress test. Coronary angiography the day of his planned ramus chronic total occlusion percutaneous coronary intervention demonstrated a large left main aneurysm. He underwent bypass with left internal mammary artery left anterior descending and failed saphenous vein graft ramus, followed by successful covered stent placement from left main into left circumflex and ramus chronic total occlusion percutaneous coronary intervention. (Level of Difficulty: Advanced.)
- computed tomography
- coronary artery aneurysm
- coronary artery bypass
- percutaneous coronary intervention
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
The authors attest they are in compliance with human studies committees and animal welfare regulations of the authors’ institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the JACC: Case Reports author instructions page.
- Received June 4, 2020.
- Revision received July 8, 2020.
- Accepted July 21, 2020.
- 2020 The Authors