Key result
Anticoagulation plus antiplatelet therapy resolves symptoms in severe coronary ectasia with anterior MI.
Why the study?
Idiopathic or congenital coronary artery ectasias and aneurysms are uncommon forms of coronary artery disease, and the prognosis and optimal management of such patients remain unknown.
Case Report (n=1)
Illustrates a rare presentation of simultaneous left main coronary artery aneurysm and right coronary artery ectasia causing myocardial infarction in a young adult, managed successfully with combined anticoagulation and antiplatelet therapy.
Answers are grounded in this paper and cite their sources.
Such lesions may precipitate MI without obstruction; leaves open prognosis and optimal management in young adults.
Idiopathic or congenital coronary artery ectasias and aneurysms are uncommon forms of coronary artery disease. The prognosis and optimal management of such patients remains unknown. The authors describe the case of an otherwise healthy 30-year-old man with concomitant severe right coronary artery ectasia and left main coronary artery aneurysm who sustained a mild anterior myocardial infarction. There was no obstructive coronary artery disease, and no cause for the lesions could be identified. Chronic anticoagulation and antiplatelet therapy were initiated with resolution of symptoms.
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Sharifi et al. (1997) conducted a case report in Concomitant severe right coronary artery ectasia and left main coronary artery aneurysm with mild anterior myocardial infarction (n=1). Chronic anticoagulation and antiplatelet therapy was evaluated on Resolution of symptoms. Chronic anticoagulation and antiplatelet therapy resulted in symptom resolution in a 30-year-old man with severe RCA ectasia, LMCA aneurysm, and mild anterior MI.
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