Octopus around heart: A Case Report

Abstract

Left main coronary aneurysm is extremely rare entity under umbrella of atherosclerotic coronary artery disease. Epidemiological and clinical data are lacking to guide management strategy. The case described here is of 72 years old male who presented with SIHD (stable ischemic heart disease). Coronary angiography revealed coronary artery aneurysm involving left main. Out of less than 50 cases reported worldwide, most cases deal with non-atherosclerotic causes of left main coronary artery aneurysm. This case report of atherosclerotic left main coronary artery aneurysm becomes unique as the eldest patient with such disease to be documented. The standard treatment strategy of CABG for such aneurysm whether appropriate for such clinical presentation in geriatric patients is not known.