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

被引:4
作者
Genena, Kareem [1 ]
Ali, Mir [1 ]
Christmas, Donald [1 ]
Siu, Henry [1 ]
机构
[1] St Francis Med Ctr, Dept Med, Trenton, NJ 08629 USA
关键词
D O I
10.1155/2018/9817812
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页数:3
相关论文
共 7 条
  • [1] Risk factors and outcomes in patients with coronary artery aneurysms
    Baman, TS
    Cole, JH
    Devireddy, CM
    Sperling, LS
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2004, 93 (12) : 1549 - 1551
  • [2] Surgical treatment of coronary artery aneurysms
    Beckmann, Erik
    Rustum, Saad
    Marquardt, Steffen
    Merz, Constanze
    Shrestha, Malakh
    Martens, Andreas
    Haverich, Axel
    Ismail, Issam
    [J]. JOURNAL OF CARDIAC SURGERY, 2017, 32 (11) : 674 - 679
  • [3] Coronary Artery Aneurysms A Review of the Natural History, Pathophysiology, and Management
    Cohen, Paul
    O'Gara, Patrick T.
    [J]. CARDIOLOGY IN REVIEW, 2008, 16 (06) : 301 - 304
  • [4] Risk factors for asymptomatic abdominal aortic aneurysm - Systematic review and meta-analysis of population-based screening studies
    Cornuz, J
    Pinto, CS
    Tevaearai, H
    Egger, M
    [J]. EUROPEAN JOURNAL OF PUBLIC HEALTH, 2004, 14 (04) : 343 - 349
  • [5] Mechanical and pharmacologic treatment in a patient with a coronary artery aneurysm and acute coronary syndrome
    Korosoglou, Grigorios
    Eisele, Tom
    Nunninger, Peter
    Giusca, Sorin
    [J]. CORONARY ARTERY DISEASE, 2017, 28 (04) : 358 - 360
  • [6] Coronary artery aneurysm: A review
    Pahlavan, Payam S.
    Niroomand, Feraydoon
    [J]. CLINICAL CARDIOLOGY, 2006, 29 (10) : 439 - 443
  • [7] Clinical expression of coronary artery ectasia
    Valente, Serafina
    Lazzeri, Chiara
    Giglioli, Cristina
    Sani, Francesca
    Romano, Salvatore Mario
    Margheri, Massimo
    Comeglio, Marco
    Gensini, Glan Franco
    [J]. JOURNAL OF CARDIOVASCULAR MEDICINE, 2007, 8 (10) : 815 - 820