“…It is suggested that CAAs can cause ischemia and myocardial infarction by leading to slow coronary flow, turbulent flow, in-situ thrombosis, spontaneous dissection, and microembolus (6,11,13,14). The most important predictor of myocardial infarction is the diameter of the aneurysm (15,16). In the present case, the giant aneurysm led to non-ST elevation myocardial infarction.…”