Coronary artery ectasia presenting with ST-elevation myocardial infarction in a young indigenous man: a case report

European Heart Journal. Case Reports
John LeeBenjamin K Dundon

Abstract

Coronary artery ectasia (CAE) is often an incidental finding on angiography, however, patients can present with acute coronary syndrome due to a large thrombus burden requiring treatment with percutaneous coronary intervention or with emergency surgery. A 26-year-old Indigenous Australian male was admitted with anterior ST-elevation myocardial infarction associated with an out of hospital ventricular fibrillation arrest. Coronary angiography demonstrated thrombotic occlusion of the proximal left anterior descending (LAD) artery with heavy thrombus burden and prominent vascular ectasia of all three coronary arteries. He was managed with surgical thrombectomy and coronary artery bypass graft of his LAD. This is the first case of triple CAE in an Indigenous Australian. The case highlights the lack of consensus approach in the management of CAE due to paucity of prospective studies.

References

Jul 25, 2006·The American Journal of Cardiology·George D GiannoglouGeorge E Louridas
May 11, 2012·International Journal of Cardiology·Theodoros A ZografosDemosthenes G Katritsis
Jun 22, 2012·The International Journal of Cardiovascular Imaging·Azza FarragSoliman Ghareeb
May 5, 2016·Current Cardiology Reviews·Subodh DevabhaktuniChowdhury Ahsan
May 5, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gokturk IpekOsman Bolca
May 23, 2017·Frontiers in Cardiovascular Medicine·Sara Abou SherifIsmail Dogu Kilic
Oct 21, 2017·Arteriosclerosis, Thrombosis, and Vascular Biology·Takahito DoiSatoshi Yasuda
Oct 22, 2017·Indian Heart Journal·Amit MalviyaAnimesh Mishra
Jul 7, 2018·JACC. Cardiovascular Interventions·Akram KawsaraMohamad Alkhouli

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary
coronary artery bypass
imaging techniques

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.