A Case of Gigantic Ectasia of Right Coronary Artery Associated with Acute Myocardial Infarction.
10.4070/kcj.2002.32.2.179
- Author:
Jung Rae CHO
1
;
Hee Doo KYUNG
;
Sung Jin OH
;
Joohyuk SOHN
;
Seunghyun KWON
;
Ju Young YANG
;
Won Heum SHIM
Author Information
1. Cardiology Division, Yonsei Cardiovascular Research institute, Yonsei University College of Medicine, Seoul, Korea. whshim@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary vessels;
Dilatation, pathologic;
Myocardial infarction
- MeSH:
Angiography;
Coronary Artery Disease;
Coronary Vessels*;
Dilatation, Pathologic*;
Follow-Up Studies;
Glycoproteins;
Humans;
Infarction;
Middle Aged;
Myocardial Infarction*;
Thrombosis;
Urokinase-Type Plasminogen Activator;
Warfarin
- From:Korean Circulation Journal
2002;32(2):179-184
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coronary artery ectasia is an uncommon disorder diagnosed in 1 to 4% of patients undergoing coronary arteriography. Coronary artery ectasia is often considered a variant of atherosclerotic coronary artery disease, although other causes should be considered. Complications from this disease usually occur as thrombo-embolic phenomena primarily due to thrombosis in the ectatic segment of the coronary artery. A 53-year old man was transferred to our ER, presenting with acute inferior wall infarction. Coronary angiogram showed a gigantic ectatic right coronary artery (RCA) with occlusion of the mid portion by a huge mural thrombus. We injected and infused glycoprotein IIb-IIIa inhibitor in the RCA, however the lysis of thrombus was minimal. Subsequently, we infused Urokinase into the RCA for 2 days. Follow-up angiography revealed partial lysis of the thrombus. The patient demonstrated no thrombo-embolic events during two months of coumadinization, and follow-up angiography revealed a complete lysis of the thrombus.
