Bilateral Giant Coronary Artery Aneurysms Complicated by Acute Coronary Syndrome and Cardiogenic Shock Peter Chiu, MD, Donald Lynch, MD, Jama Jahanayar,

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Bilateral Giant Coronary Artery Aneurysms Complicated by Acute Coronary Syndrome and Cardiogenic Shock Peter Chiu, MD, Donald Lynch, MD, Jama Jahanayar, MD, PhD, Ian S. Rogers, MD, MPH, Jennifer Tremmel, MD, MS, Jack Boyd, MD The Annals of Thoracic Surgery Volume 101, Issue 4, Pages e95-e97 (April 2016) DOI: 10.1016/j.athoracsur.2015.06.104 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomographic (CT) angiogram demonstrating proximal right coronary artery (RCA) aneurysm. (B) CT angiogram demonstrating left main (LM) and left anterior descending (LAD) coronary artery aneurysms. (C) Coronary angiogram demonstrating proximal RCA aneurysm. (D) Coronary angiogram demonstrating LM aneurysm. The Annals of Thoracic Surgery 2016 101, e95-e97DOI: (10.1016/j.athoracsur.2015.06.104) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Transesophageal echocardiogram (TEE) demonstrating flow into right coronary artery (RCA) aneurysm. (B) TEE redemonstrating RCA aneurysm. (C) TEE showing RCA aneurysm and left main (LM) aneurysm. (D) Intraoperative image demonstrating right and left coronary aneurysms. Outlined red arrow demarcates RCA aneurysm; solid red arrow demarcates LM aneurysm. The Annals of Thoracic Surgery 2016 101, e95-e97DOI: (10.1016/j.athoracsur.2015.06.104) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions