Medical image of the week: coronary artery ectasia

Autor: Steven Stroud, Adam Berlinberg, Karl Kern, Jaren Trost
Rok vydání: 2017
Předmět:
Zdroj: Southwest Journal of Pulmonary and Critical Care, Vol 14, Iss 5, Pp 253-254 (2017)
ISSN: 2160-6773
DOI: 10.13175/swjpcc049-17
Popis: No abstract available. Article truncated after 150 words. A 70-year-old man with a history of coronary artery disease and previous 3 vessel coronary artery bypass grafting (CABG) was admitted to the coronary care unit with acute chest pain and EKG concerning for ST elevations in II, III, aVF with first degree AV block. Troponins were negative on admission, and peaked at 35 ng/ml. The patient was taken immediately to the cardiac catherization lab for acute inferior ST elevation myocardial infarction (STEMI), and was found to have coronary artery ectasia throughout with diffuse atherosclerotic disease. 100% occlusion was noted in the distal RCA, but the wire was not able to be passed through the blockage due to tortuous and dilated vessels vessels. Left circumflex and left anterior descending arteries showing similar ectatic findings without acute blockage. No stents were able to be engaged in the RCA given the large diameter from the ectasia. The RCA notably had a diameter …
Databáze: OpenAIRE