Colegio Argentino de Cardioangiólogos Intervencionistas Revista Argentina de Cardioangiología intervencionista 2250-7531 2313-9307 15 2 2024 06 30 Primary angioplasty to ectatic right coronary artery with sirolimus eluting self-expanding stent 0066 0068 EN Mariela Herrera Attending physician. Hospital General de Agudos Francisco Santojanni. marieli_rhcp@hotmail.com Leandro Puerta Attending physician. Hospital General de Agudos Francisco Santojanni. Gabriel Dionisio Attending physician. Hospital General de Agudos Francisco Santojanni. Sergio Centeno Chief of Department. Hospital General de Agudos Francisco Santojanni. Coronary angioplasty to large vessels is challenging, particularly in the setting of myocardial infarction. The usual devices are not enough for the treatment of vessels that exceed 4 or 5 mm in diameter, which is even more relevant in the presence of high thrombotic content. On this occasion, we present the resolution of an acute coronary syndrome with ST-segment elevation, involving a large ectatic Right Coronary artery, with the sirolimus-eluting stent X-position S STENTYS. acute coronary syndrome, primary angioplasty, ectatic coronary artery http://www.raci.com.ar/contenido/art.php?recordID=MjcxOQ== http://recursos.meducatium.com.ar/contenido/articulos/34700660068_2719/pdf/34700660068.pdf