Coronary aneurysms in a patient with bypass grafts.

performed to assess the extent of the lesion, the coronary grafts were seen to be patent and 2 aneurysms were visualized in the RCA. The first was in the proximal RCA (described on echocardiography) and the other, in the medial RC, was 17×22 mm in diameter and partially thrombosed (Figures 3A and 3C, arrowheads). In addition, there was a third aneurysm located in the proximal segment of the left anterior descending artery, somewhat smaller and totally thrombosed (Figure 3B, arrow). Conservative management was decided considering the absence of symptoms and the patient’s comorbid conditions.