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Unmasking of a Giant Coronary Aneurysm by Chronic Total Coronary Occlusion Percutaneous Coronary Intervention Techniques

Yvemarie B.O. Somsen,Sina Porouchani,Ruben W. de Winter, Harmen R. Zandbergen, Evert K. Jansen,Alexander Nap, Hans W.M. Niessen,Paul Knaapen

JACC: Case Reports（2024）

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Abstract
A young female patient presenting with a non-ST-segment elevation myocardial infarction underwent invasive coronary angiography, revealing a total occlusion of the right coronary artery. During percutaneous coronary intervention with dual catheter access, a retrograde tip injection and peculiar retrograde wiring unmasked a giant coronary aneurysm, which noninvasive imaging confirmed.
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Key words
acute coronary syndrome,computed tomography,coronary vessel anomaly,hybrid imaging,percutaneous coronary intervention
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