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Seven cases of MVR have been performed in this newly opened tertiary Care Centre till now. We present an unusual case of a 52 year old female who underwent MVR and developed hyperbilirubinaemia on 2nd postoperative day. This laso revrted the next day without any permanant sequelae. Our patient was asymptomatic through the process.

Left main coronary aneurysm is extremely rare entity under umbrella of atherosclerotic coronary artery disease. Epidemiological and clinical data are lacking to guide management strategy. The case described here is of 72 years old male who presented with SIHD (stable ischemic heart disease). Coronary angiography revealed coronary artery aneurysm involving left main. Out of less than 50 cases reported worldwide, most cases deal with non-atherosclerotic causes of left main coronary artery aneurysm. This case report of atherosclerotic left main coronary artery aneurysm becomes unique as the eldest patient with such disease to be documented. The standard treatment strategy of CABG for such aneurysm whether appropriate for such clinical presentation in geriatric patients is not known.

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