Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome
The patient is a 70-year-old male with no other atherogenic risk factors who presented with an acute coronary syndrome (ACS) of unstable angina subsequently complicated by a non-ST elevation myocardial infarction (NSTEMI). The patient’s presentation posed 3 unique features: (1) cardiac catheterizati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2016-03-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/2324709616640008 |
| _version_ | 1818917277945298944 |
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| author | Wesam Ostwani MD Holly Fleming MD Carlos A. Roldan MD |
| author_facet | Wesam Ostwani MD Holly Fleming MD Carlos A. Roldan MD |
| author_sort | Wesam Ostwani MD |
| collection | DOAJ |
| description | The patient is a 70-year-old male with no other atherogenic risk factors who presented with an acute coronary syndrome (ACS) of unstable angina subsequently complicated by a non-ST elevation myocardial infarction (NSTEMI). The patient’s presentation posed 3 unique features: (1) cardiac catheterization demonstrated nonobstructive 3-vessel multi-aneurysmal coronary artery disease with sluggish antegrade coronary flow; (2) a nonobstructive aneurysmal dissection flap based on contrast staining of the mid left anterior descending artery, which may have led to in situ nonocclusive thrombosis and distal microvascular embolization; and (3) successful conservative medical therapy of coronary artery aneurysmal disease (CAAD) complicated with ACS. CAAD has an incidence of 1.5% to 4.9% in adults. The most common etiology of CAAD is atherosclerotic coronary artery disease. There are no guidelines for the management of CAAD complicated by ACS, and controversies exist as to whether conservative, catheter-based, or surgical management should be pursued. |
| first_indexed | 2024-12-20T00:31:31Z |
| format | Article |
| id | doaj.art-4b565eb85a254c92a1f20b78ddf18077 |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-12-20T00:31:31Z |
| publishDate | 2016-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-4b565eb85a254c92a1f20b78ddf180772022-12-21T19:59:55ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962016-03-01410.1177/232470961664000810.1177_2324709616640008Coronary Artery Aneurysmal Disease and Acute Coronary SyndromeWesam Ostwani MD0Holly Fleming MD1Carlos A. Roldan MD2University of New Mexico, Albuquerque, NM, USANew Mexico VA Health Care System, Albuquerque, NM, USANew Mexico VA Health Care System, Albuquerque, NM, USAThe patient is a 70-year-old male with no other atherogenic risk factors who presented with an acute coronary syndrome (ACS) of unstable angina subsequently complicated by a non-ST elevation myocardial infarction (NSTEMI). The patient’s presentation posed 3 unique features: (1) cardiac catheterization demonstrated nonobstructive 3-vessel multi-aneurysmal coronary artery disease with sluggish antegrade coronary flow; (2) a nonobstructive aneurysmal dissection flap based on contrast staining of the mid left anterior descending artery, which may have led to in situ nonocclusive thrombosis and distal microvascular embolization; and (3) successful conservative medical therapy of coronary artery aneurysmal disease (CAAD) complicated with ACS. CAAD has an incidence of 1.5% to 4.9% in adults. The most common etiology of CAAD is atherosclerotic coronary artery disease. There are no guidelines for the management of CAAD complicated by ACS, and controversies exist as to whether conservative, catheter-based, or surgical management should be pursued.https://doi.org/10.1177/2324709616640008 |
| spellingShingle | Wesam Ostwani MD Holly Fleming MD Carlos A. Roldan MD Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome Journal of Investigative Medicine High Impact Case Reports |
| title | Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome |
| title_full | Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome |
| title_fullStr | Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome |
| title_full_unstemmed | Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome |
| title_short | Coronary Artery Aneurysmal Disease and Acute Coronary Syndrome |
| title_sort | coronary artery aneurysmal disease and acute coronary syndrome |
| url | https://doi.org/10.1177/2324709616640008 |
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