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. 2022 Apr 26;10(12):3936–3943. doi: 10.12998/wjcc.v10.i12.3936

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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

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The first coronary angiography. This angiography was performed 3 d after admission to hospital with chest pain (video), Q wave on electrocardiogram, and increased myocardial injury markers. The two images show aneurysmal dilation in the entire right coronary artery (RCA) with a diameter of 6.60 mm, four fold of a 5 French catheter and more than 1.70 fold of the normal RCA. The middle of the RCA presented with 70%-80% limited stenosis, showed a thrombus shadow after the second turning point, and the forward blood flow was thrombolysis in myocardial infarction grade 3. No additional percutaneous coronary intervention (PCI) was performed after a discussion with the PCI group because the symptoms were relieved and the coronary blood flow was unobstructed.