Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review
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...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/9817812 |
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| _version_ | 1832549489505730560 |
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| author | Kareem Genena Mir Ali Donald Christmas Henry Siu |
| author_facet | Kareem Genena Mir Ali Donald Christmas Henry Siu |
| author_sort | Kareem Genena |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-10ac359ae61b4f6e8a060de4e5989c54 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-10ac359ae61b4f6e8a060de4e5989c542025-02-03T06:11:11ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/98178129817812Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature ReviewKareem Genena0Mir Ali1Donald Christmas2Henry Siu3Department of Medicine, Saint Francis Medical Center, Trenton, NJ 08629, USADepartment of Medicine, Saint Francis Medical Center, Trenton, NJ 08629, USADepartment of Medicine, Saint Francis Medical Center, Trenton, NJ 08629, USADepartment of Medicine, Saint Francis Medical Center, Trenton, NJ 08629, USAWhile 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.http://dx.doi.org/10.1155/2018/9817812 |
| spellingShingle | Kareem Genena Mir Ali Donald Christmas Henry Siu Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review Case Reports in Cardiology |
| title | Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review |
| title_full | Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review |
| title_fullStr | Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review |
| title_full_unstemmed | Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review |
| title_short | Coronary Artery Ectasia Presenting as a Non-ST Elevation Myocardial Infarction in a Young Adult: Case Presentation and Literature Review |
| title_sort | coronary artery ectasia presenting as a non st elevation myocardial infarction in a young adult case presentation and literature review |
| url | http://dx.doi.org/10.1155/2018/9817812 |
| work_keys_str_mv | AT kareemgenena coronaryarteryectasiapresentingasanonstelevationmyocardialinfarctioninayoungadultcasepresentationandliteraturereview AT mirali coronaryarteryectasiapresentingasanonstelevationmyocardialinfarctioninayoungadultcasepresentationandliteraturereview AT donaldchristmas coronaryarteryectasiapresentingasanonstelevationmyocardialinfarctioninayoungadultcasepresentationandliteraturereview AT henrysiu coronaryarteryectasiapresentingasanonstelevationmyocardialinfarctioninayoungadultcasepresentationandliteraturereview |