A case with discrete atherosclerotic aneursyms of all coronary vessels.

A 42 years, hypertensive lady presented with chest pain of 2 hours duration. On examination, her vital parameters were settled and there was no gross cardiovascular abnormality. Electrocardiogram showed acute anterior myocardial infarction. Troponin I was positive for myocardial necrosis. Transthoracic echocardiogram revealed hypokinetic left ventricular apex and apical half of interventricular septum. Coronary angiography showed calcified aneurysm of all three coronary vessels i.e. left anterior descending (LAD) and left circumflex artery (LCA) (Fig. 1) and right coronary artery (RCA) (Fig. 2). LAD was diffusely diseased and 100% occluded distal to aneurysm and RCA was 70% stenosed in its mid segment distal to aneurysm.