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12:03
Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
Coronary aneurysm complicated by acute myocardial infarction
Ayaz Hussain Shaikh1, Bashir Hanif, Khursheed Hassan
1Tabba Heart Institute, Karachi. ahsdr1977@yahoo.com
JPMA. the Journal of the Pakistan Medical Association
|July 19, 2013
Summary
A 55-year-old obese woman with hypertension experienced myocardial infarction. Treatment included thrombolysis and anticoagulation for coronary artery aneurysms and thrombus, leading to a good recovery.
Area of Science:
- Cardiology
- Vascular Medicine
- Interventional Cardiology
Background:
- Coronary artery aneurysms are rare but can lead to serious complications such as myocardial infarction.
- Hypertension and obesity are significant risk factors for cardiovascular disease.
Observation:
- A 55-year-old female presented with ST-segment elevation myocardial infarction (STEMI) and right ventricular infarction.
- Coronary angiography revealed aneurysmal changes in the right coronary artery (RCA), left anterior descending (LAD), and left circumflex (LCX) arteries.
- The RCA had a 60% stenosis with thrombus, despite TIMI III distal blood flow.
Findings:
- The patient underwent successful thrombolytic therapy but continued to have anginal symptoms.
- Intravenous heparin and warfarin were initiated due to the presence of aneurysmal coronary arteries and a significant thrombus burden.
- The patient was discharged within a week and showed positive outcomes during follow-up.
Implications:
- This case highlights the importance of considering coronary artery aneurysms in patients presenting with myocardial infarction, especially those with risk factors.
- Aggressive anticoagulation therapy may be crucial in managing coronary artery aneurysms with thrombus to prevent recurrent ischemic events.
- Further research into the optimal management strategies for coronary artery aneurysms is warranted.
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