PMID- 33154940
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201107
IS  - 1016-7315 (Print)
IS  - 2212-5043 (Electronic)
IS  - 1016-7315 (Linking)
VI  - 32
IP  - 2
DP  - 2020
TI  - Coronary Artery Ectasia with Acute Myocardial Infarction, A Case Report.
PG  - 336-339
LID - 10.37616/2212-5043.1114 [doi]
AB  - Coronary artery ectasia (CAE), also known as aneurysmal coronary artery disease, 
      is defined as an abnormal diffuse (ectasia) or segmental (aneurysmal) dilatation 
      of any branch of the coronary arteries. It is a well-recognized entity with 
      1.2-4.9% prevalence. Our case is a 46 year old male with no prior medical problem 
      who presented to the ER with inferior ST elevation myocardial infarction (STEMI). 
      The Coronary angiogram revealed multiple ectatic segments in the right coronary 
      artery (RCA) with 100% stenosis in the middle segment. Upon wiring the RCA a big 
      clot burden was noted on the ectatic segment. We planned to keep him on aggrastat 
      infusion for 24 hours then re-cath him. The second cath showed complete 
      resolution of the clot and the lesion was stented with drug eluting stent showing 
      excellent final result. We found that our case is interesting and unique in 
      exploring the association of CAE that presents with STEMI and how to treat it 
      safely in the cath lab, knowing that CAE is an uncommon finding during coronary 
      angiography. CAE is associated with many coronary artery disease (CAD) risk 
      factors and etiologies as well as pathologic progression. Patients with CAE are 
      usually asymptomatic but can still present with symptoms of coronary artery 
      occlusion. There is still no standard treatment specific for CAE itself, but when 
      presenting with occlusive symptoms, management is guided by the extent of 
      occlusion similar to CAD.
CI  - (c) 2020 Saudi Heart Association.
FAU - Almegbel, Maysan M
AU  - Almegbel MM
AD  - King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, 
      Riyadh, Saudi Arabia.
FAU - Almutairi, Fawaz Q
AU  - Almutairi FQ
AD  - King Abdulaziz Medical City, Cardiac Center, Riyadh, Saudi Arabia.
LA  - eng
PT  - Case Reports
DEP - 20200724
PL  - Saudi Arabia
TA  - J Saudi Heart Assoc
JT  - Journal of the Saudi Heart Association
JID - 9887261
PMC - PMC7640541
OTO - NOTNLM
OT  - Coronary aneurysm
OT  - Coronary artery disease
OT  - Coronary artery ectasia
EDAT- 2020/11/07 06:00
MHDA- 2020/11/07 06:01
PMCR- 2020/07/24
CRDT- 2020/11/06 06:00
PHST- 2020/03/26 00:00 [received]
PHST- 2020/05/21 00:00 [revised]
PHST- 2020/05/25 00:00 [accepted]
PHST- 2020/11/06 06:00 [entrez]
PHST- 2020/11/07 06:00 [pubmed]
PHST- 2020/11/07 06:01 [medline]
PHST- 2020/07/24 00:00 [pmc-release]
AID - sha-32-02-336 [pii]
AID - 10.37616/2212-5043.1114 [doi]
PST - epublish
SO  - J Saudi Heart Assoc. 2020 Jul 24;32(2):336-339. doi: 10.37616/2212-5043.1114. 
      eCollection 2020.