ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis
| Autor: | Young Seung Oh, Eun Hyea Park, Sungmin Lim, Ji Woong Roh, Hyo Suk Kim, Tong Yoon Kim, Joon Cheol Song |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
liver cirrhosis medicine.medical_treatment Asymptomatic Internal medicine Ectasia Angioplasty medicine ST segment cardiovascular diseases Myocardial infarction coronary artery ectasia business.industry Coronary artery ectasia lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 medicine.disease ST-segment elevation myocardial infarction medicine.anatomical_structure Cardiology antiplatelet agents medicine.symptom business Ticagrelor Artery medicine.drug |
| Zdroj: | Korean Journal of Critical Care Medicine, Vol 30, Iss 4, Pp 358-364 (2015) |
| ISSN: | 2383-4889 2383-4870 |
| DOI: | 10.4266/kjccm.2015.30.4.358 |
| Popis: | Coronary artery ectasia (CAE) is a rare condition defined as the dilatation of coronary artery to at least 1.5 times larger than the normal adjacent coronary artery. Clinical manifestations of CAE vary, ranging from asymptomatic to ST-segment elevation myocardial infarction (STEMI). Because of its rarity and clinical diversity, the best treatment strategy and prognosis for CAE remain unclear. We describe a case of STEMI caused by intracoronary thrombus formation within an ectatic area in a patient with liver cirrhosis (LC). The patient was successfully managed by thrombus aspiration only, without balloon angioplasty or stent implantation, and maintained by dual antiplatelet therapy with aspirin and ticagrelor, a potent new P2Y12 inhibitor. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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