Dilemma of localization of culprit vessel by electrocardiography in acute myocardial infarction.

Acute coronary syndrome (ACS) and electrocardiography showing ST elevation in Lead aVR>V1 are considered specific for left main coronary artery lesion and also suggest extensive anterior wall myocardial infarction. In this backdrop, we are presenting an incidental observation of an association of ST elevation in lead aVR>V1 in isolated proximal left circumflex lesion in the setting of ACS, who later underwent successful primary percutaneous coronary intervention.

Giant coronary aneurysm following drug-eluting stent implantation presenting as fever of unknown origin.

Development of coronary aneurysm following drug-eluting stent (DES) implantation has been increasingly reported in the last few years. Most of the authors cited local inflammation and hypersensitivity in the vessel wall as the primary etiology. We report a similar case of giant aneurysm formation following DES implantation.