A Hybrid Covered Stent–Coil Strategy for Complex Dual Aneurysms of the Left Anterior Descending Artery

Coronary artery aneurysms are uncommon and may be particularly difficult to treat when they coexist with significant stenosis and branch vessel involvement.We present a 67-year-old man with stable angina and no previous coronary imaging.Coronary computed tomography angiography demonstrated 2 adjacent aneurysms in the proximal left anterior descending artery (LAD): a fusiform aneurysm followed by a larger saccular aneurysm.Coronary angiography confirmed sequential dual LAD aneurysms with preserved distal flow, while the first and second diagonal branches arose from the distal margin of the saccular aneurysm (Figure 1).Intravascular ultrasound clarified aneurysm morphology, branch