Progressive Dilation of Coronary Artery Ectasia Causing Recurrent Myocardial Infarction

Takuro Imaoka; Satoru Mitomo; Ozan M Demir; Sunao Nakamura

doi:10.1016/j.jaccas.2023.102044

Progressive Dilation of Coronary Artery Ectasia Causing Recurrent Myocardial Infarction

JACC Case Rep. 2023 Oct 18:24:102044. doi: 10.1016/j.jaccas.2023.102044.

Authors

Takuro Imaoka¹, Satoru Mitomo¹, Ozan M Demir², Sunao Nakamura¹

Affiliations

¹ Department of Cardiology, New Tokyo Hospital, Matsudo, Japan.
² Department of Cardiology, Essex Cardiothoracic Centre, Basildon, Essex, United Kingdom.

Abstract

We present a case of recurrent myocardial infarction with coronary artery ectasia that had progressive dilation. Both implanting drug-eluting stent and antithrombotic therapy with warfarin plus P2Y12 inhibitor were feasible. The careful follow-up including morphologic evaluation may be needed for this specific lesion. (Level of Difficulty: Intermediate.).

Keywords: acute myocardial infarction; coronary artery ectasia; coronary dilation; thrombus.

Publication types

Case Reports