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A 72-year-old male with a history of chest pain presented to the ER with left-side motor weakness. Brain MRI revealed acute infarction of right anterior cerebral artery territory, and echocardiography showed normal ejection fraction and no visible thrombus. However, coronary angiography revealed left main coronary artery saccular aneurysm (8 × 10 mm2) originating at the distal segment of the left main between LAD and LCX. IVUS examination showed similar size and …

Unruptured left main coronary artery aneurysm presented with acute cerebral infarction