Case Report

Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report


Coronary artery aneurysms (CAAs) are rare, and aneurysms of the left main coronary artery are extremely rare. Atherosclerosis is the main cause of CAAs.

An 87-year-old man with atypical chest pain of 1 month’s duration presented to a hospital. Physical examinations of the patient’s cardiopulmonary system and vital signs were unremarkable. Electrocardiography showed a right bundle branch block and an atypical ST-segment elevation in the inferior leads. Coronary angiography demonstrated a huge aneurysm in the left main without any clots. Additionally, there were no remarkable findings in cardiac monitoring and spiral chest computed tomography scanning. Ultimately, after he received nitroglycerin, β-blockers, Ca++ channel blockers, Aspirin (ASA), and clopidogrel (Plavix), his pain was relieved.

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IssueVol 17 No 1 (2022): J Teh Univ Heart Ctr QRcode
SectionCase Report(s)
Coronary aneurysm Coronary artery disease Angiography Chest pain Thrombosis

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How to Cite
Kazemi E, Sheibani H. Recurrent Chest Pain due to a Huge Left Main Aneurysm: A Case Report. J Tehran Heart Cent. 2022;17(1):33-37.