Giant left main coronary artery aneurysm in a cocaine abuser

A 61-year-old male with history of hypertension and cocaine abuse presented with worsening shortness of breath and exertional substernal chest pain. He was in decompensated congestive heart failure and atrial fibrillation. Echocardiogram revealed an ejection fraction of 25%. Coronary angiography revealed an aneurysm in the distal …