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

Case Reports in Cardiology
Kareem GenenaHenry Siu

Abstract

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.

References

Jun 15, 2004·The American Journal of Cardiology·Timir S BamanLaurence S Sperling
Oct 27, 2006·Clinical Cardiology·Payam S Pahlavan, Feraydoon Niroomand
Sep 22, 2007·Journal of Cardiovascular Medicine·Serafina ValenteGian Franco Gensini
Oct 17, 2008·Cardiology in Review·Paul Cohen, Patrick T O'Gara
Oct 14, 2017·Journal of Cardiac Surgery·Erik BeckmannIssam Ismail

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