Abstract:
RATIONALE:Coronary artery ectasia (CAE) is characterized by an abnormal dilatation of the coronary arteries. CAE is often associated with the presence of slow coronary flow and may lead to acute myocardial infarction (AMI), even without total occlusion. PATIENT CONCERNS AND DIAGNOSIS:We report a case of a 24-year-old male patient with CAE suffering from AMI. INTERVENTIONS:Percutaneous coronary intervention with aspiration thrombectomy failed to restore adequate blood flow. Heparin and antiplatelet treatment were provided for pharmacological management, but follow-up angiography 15 days later still revealed a poor result. This patient was ultimately treated with antiplatelet therapy in combination with warfarin treatment. OUTCOMES:Follow-up coronary angiography 15 months later showed a restored normal Thrombolysis In Myocardial Infarction grade (TIMI) 3 flow. LESSONS:CAE-related infarct is often associated with high-burden thrombus formation. Long-term warfarin in combination with antiplatelet therapy may be a good alternative intervention to decrease thrombus burden and enhance blood flow.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Li Y,Wu C,Liu Wdoi
10.1097/MD.0000000000005976subject
Has Abstractpub_date
2017-01-01 00:00:00pages
e5976issue
4eissn
0025-7974issn
1536-5964pii
00005792-201701270-00039journal_volume
96pub_type
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