case_images: PMC10846917_01
case_images: Invasive coronary angiograms showing patent coronary arteries in July 2021 and multivessel ostial coronary artery disease and left main artery aneurysm in January 2022.
case_images: CRIC2024-8976833.001.jpg
case_images: PMC10846917_01_CRIC2024-8976833.001.jpg
case_images: fig1
case_images: She was being evaluated for kidney transplant, and per preoperative evaluation protocol, she had an invasive coronary angiogram six months ago that showed no occlusive epicardial CAD (Figure 1, July 2021, and Video 1). Invasive coronary angiography showed new-onset severe multivessel epicardial CAD (Figure 1, January 2022, and Video 2).
case_images: Left main artery aneurysm measuring 2.5 x 4.0 cm.
case_images: CRIC2024-8976833.002.jpg
case_images: PMC10846917_01_CRIC2024-8976833.002.jpg
case_images: fig2
case_images: Invasive coronary angiography showed new-onset severe multivessel epicardial CAD (Figure 1, January 2022, and Video 2). Her LMCA was aneurysmal (2.5 x 4.0 cm) (Figure 2), ostial left anterior descending artery (LAD) had 95% tubular stenosis with thrombolysis in myocardial infarction- (TIMI-) 2 flow distally, and left circumflex artery (LCX) had tubular 80-90% ostial to proximal stenosis with TIMI-2 flow distally.