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2006.
Abstract Coronary artery aneurysms (CAAs) are rare and their management is controversial. Th eir
incidence varies from , to of the coronary angiographies, with predilection of the right coronary artery. Unruptured coronary aneurysms are often silent and may remain undiag- nosed. Th e etiology can be either congenital or acquired. We describe a case of a left anterior descending artery (LAD) aneurysm treated with an off -pump surgical revascularization with a LIMA to LAD without exclusion or ligature of the aneurysm.