Coronary Aneurysm With Stent Dislocation Leading to the Diagnosis of Marfan Syndrome

A 50-year-old male patient presented with unstable angina in our chest pain unit. He had a history of successful resuscitation after sudden cardiac arrest attributable to acute myocardial infarction 3 years ago. Coronary angiography at that time demonstrated acute proximal occlusion of the right coronary artery (Figure 1A) treated by balloon dilatation and implantation of 2 bare metal stents (Figure 1B). The second overlapping stent was necessary because of insufficient coverage of the diseased ostium after the first stent. Figure 1. Coronary angiography with acute occlusion of the proximal right coronary artery ( A ) and result after implantation of stents (arrows) in the left anterior oblique view …