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Progressive Dilation of Coronary Artery Ectasia Causing Recurrent Myocardial Infarction
Takuro Imaoka1, Satoru Mitomo1, Ozan M Demir2
1Department of Cardiology, New Tokyo Hospital, Matsudo, Japan.
Insights
Recurrent myocardial infarction cases with progressive coronary artery ectasia can be managed. Treatment with drug-eluting stents and dual antithrombotic therapy proved feasible, requiring careful follow-up.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Biology
Background:
- Coronary artery ectasia (CAE) is a dilation of coronary arteries.
- Recurrent myocardial infarction (MI) in the context of CAE presents unique challenges.
- Progressive dilation in CAE can complicate treatment strategies.
Abstract:
We present a case of recurrent myocardial infarction with coronary artery ectasia that had progressive dilation. Both implanting drug-eluting stent and antithrombotic therapy with warfarin plus P2Y12 inhibitor were feasible. The careful follow-up including morphologic evaluation may be needed for this specific lesion. (Level of Difficulty: Intermediate.).
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