Regurgitation of blood flow from the ectatic LAD artery as a cause of angina demonstrated during coronary angiogram

Hirapur, Iranna; Veeranna, Rajeshwari Mantgol; Agrawal, Navin

doi:10.1136/bcr-2013-203172

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Ectatic vessels have higher rates for structural alterations and TIMI frame count which contribute to the increased risk for thrombosis and vasospasm. This could also worsen by blood reflux due to possible absence of diastolic antegrade flow gradient due to coronary dilation [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A History of Kawasaki Disease From Childhood and Coronary Artery Ectasia With Recurrent ST Elevation Myocardial Infarction: A Therapeutic Challenge

et al. 2017

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Coronary artery ectasia (CAE) is an uncommon anomaly, usually found in 1.2-2% of patients undergoing coronary angiography, defined as a segment of the coronary artery that has a diameter of more than 1.5 times the normal adjacent segments. Atherosclerosis is considered as the cause of half of the CAE cases. We herein present a 65-year-old Asian male with past medical history of Kawasaki disease (KD) who developed recurrent episodes of inferior wall ST-elevation myocardial infarction (STEMI) despite treatment with dual antiplatelet therapy (DAPT). Repeat coronary angiogram showed severely ectatic and tortuous coronary arteries more predominant on the right coronary artery (RCA) with diffuse thrombus in its mid segment. Given his unfavorable vascular anatomy, the condition was managed medically with the addition of warfarin to his DAPT with target international normalized ratio (INR) 2 - 3. This case highlights the association of CAE with a prior history of KD and its therapeutic challenge.

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Section: Discussionmentioning

confidence: 99%

A History of Kawasaki Disease From Childhood and Coronary Artery Ectasia With Recurrent ST Elevation Myocardial Infarction: A Therapeutic Challenge

et al. 2017

View full text Add to dashboard Cite

show abstract

Regurgitation of blood flow from the ectatic LAD artery as a cause of angina demonstrated during coronary angiogram

Cited by 2 publications

References 2 publications

A History of Kawasaki Disease From Childhood and Coronary Artery Ectasia With Recurrent ST Elevation Myocardial Infarction: A Therapeutic Challenge

A History of Kawasaki Disease From Childhood and Coronary Artery Ectasia With Recurrent ST Elevation Myocardial Infarction: A Therapeutic Challenge

Giant coronaries: coronary ectasia as an isolated cause of exertional angina and positive stress test

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