How should I treat multiple coronary aneurysms with severe stenoses

BACKGROUND: A 46-year-old male, with a history of old myocardial infarction in the first diagonal branch (D1) treated with balloon angioplasty three years before, was admitted to our institution because of chest pain on effort. He underwent coronary angiography which revealed multiple coronary aneurysms in the left anterior descending artery (LAD) and the D1 with severe stenoses in the LAD, D1, and the obtuse marginal branch. INVESTIGATION: Coronary angiography, fractional flow reserve, scintigraphy, coronary computed tomography. DIAGNOSIS: Multiple coronary aneurysms with severe stenoses. MANAGEMENT: Percutaneous coil embolisation and stenting.