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Full-Text Articles in Medicine and Health Sciences
Coronary Artery Ectasia With Acute Myocardial Infarction, A Case Report, Maysan Mohammed Almegbel, Fawaz Qabel Almutairi
Coronary Artery Ectasia With Acute Myocardial Infarction, A Case Report, Maysan Mohammed Almegbel, Fawaz Qabel Almutairi
Journal of the Saudi Heart Association
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 46year 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 …
Infected Coronary Artery Aneurysm - A Rare But Fatal Complication Of Percutaneous Coronary Intervention, Ajit Pal Singh, Harnoor Singh Pruthi
Infected Coronary Artery Aneurysm - A Rare But Fatal Complication Of Percutaneous Coronary Intervention, Ajit Pal Singh, Harnoor Singh Pruthi
Journal of the Saudi Heart Association
A 43 year old male underwent successful Percutaneous Coronary Intervention (PCI) to LCX. 3 months after the procedure, he presented with NYHA class III-IV angina associated with low grade fever and reduced appetite. Biochemical parameters including complete blood count and renal function tests were normal. ECG showed ST segment depression in lateral leads. Echocardiography showed lateral wall hypokinesia with moderate Mitral valve regurgitation. Coronary angiogram revealed large mycotic aneurysms in LAD and LCX coronary arteries (Image 1). Blood culture showed growth of Pseudomonas aeruginosa. Infected coronary aneurysms are a rare and potentially fatal complication after drug eluting stent implantationand …