Fig. 1 A) Initial coronary angiogram of the left anterior descending (LAD) coronary artery shows proximal aneurysmal dilatation. The circumflex coronary artery was also aneurysmal but was not selectively injected on this frame. B) Coronary angiogram 8 years later shows increase of the aneurysmal dilatation of the LAD and long, tubular stenosis in its mid-portion. The proximal circumflex artery is ectatic.