Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review

Autor: Kareem Genena, Mir Ali, Donald Christmas, Henry Siu
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Cardiology, Vol 2018 (2018)
Druh dokumentu: article
ISSN: 2090-6404
2090-6412
DOI: 10.1155/2018/9817812
Popis: While acute coronary syndromes most commonly occur secondary to unstable atherosclerotic plaque, coronary aneurysms, also known as coronary artery ectasia (CAE), represent a less common etiology. Whereas coronary atherosclerosis accounts for about 50% of CAE, the remaining 50% are either congenital or secondary to a host of inflammatory and connective tissue disorders, with Kawasaki disease being a well-known association. Patients with CAE have worse outcomes than the general population regardless of the presence of associated atherosclerotic coronary artery disease. We report the case of a young male presenting with chest pain, a right bundle branch block on electrocardiography, an elevated troponin level, and a regional wall motion abnormality on echocardiography who is found to have diffuse coronary artery ectasia on coronary angiography and is managed medically with dual antiplatelet therapy.
Databáze: Directory of Open Access Journals
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