ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis
10.4266/kjccm.2015.30.4.358
- Author:
Ji Woong ROH
1
;
Eun Hyea PARK
;
Joon Cheol SONG
;
Young Seung OH
;
Tong Yoon KIM
;
Hyo Suk KIM
;
Sungmin LIM
Author Information
1. Department of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea. sungmin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
antiplatelet agents;
coronary artery ectasia;
liver cirrhosis;
ST-segment elevation myocardial infarction
- MeSH:
Angioplasty, Balloon;
Aspirin;
Coronary Vessels;
Dilatation;
Dilatation, Pathologic;
Humans;
Liver Cirrhosis;
Liver;
Myocardial Infarction;
Platelet Aggregation Inhibitors;
Prognosis;
Stents;
Thrombosis
- From:The Korean Journal of Critical Care Medicine
2015;30(4):358-364
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coronary artery ectasia (CAE) is a rare condition defined as the dilatation of coronary artery to at least 1.5 times larger than the normal adjacent coronary artery. Clinical manifestations of CAE vary, ranging from asymptomatic to ST-segment elevation myocardial infarction (STEMI). Because of its rarity and clinical diversity, the best treatment strategy and prognosis for CAE remain unclear. We describe a case of STEMI caused by intracoronary thrombus formation within an ectatic area in a patient with liver cirrhosis (LC). The patient was successfully managed by thrombus aspiration only, without balloon angioplasty or stent implantation, and maintained by dual antiplatelet therapy with aspirin and ticagrelor, a potent new P2Y12 inhibitor.
