ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis
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 r...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2015-11-01
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| Series: | Korean Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | http://kjccm.org/upload/pdf/kjccm-2015-30-4-358.pdf |
| _version_ | 1818007032203051008 |
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| author | Ji Woong Roh Eun Hyea Park Joon Cheol Song Young Seung Oh Tong Yoon Kim Hyo Suk Kim Sungmin Lim |
| author_facet | Ji Woong Roh Eun Hyea Park Joon Cheol Song Young Seung Oh Tong Yoon Kim Hyo Suk Kim Sungmin Lim |
| author_sort | Ji Woong Roh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-14T05:10:12Z |
| format | Article |
| id | doaj.art-d5ac37a1bc8347a0b625087fe3494ec0 |
| institution | Directory Open Access Journal |
| issn | 2383-4870 2383-4889 |
| language | English |
| last_indexed | 2024-04-14T05:10:12Z |
| publishDate | 2015-11-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Korean Journal of Critical Care Medicine |
| spelling | doaj.art-d5ac37a1bc8347a0b625087fe3494ec02022-12-22T02:10:35ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892015-11-0130435836410.4266/kjccm.2015.30.4.35831ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver CirrhosisJi Woong RohEun Hyea ParkJoon Cheol SongYoung Seung OhTong Yoon KimHyo Suk KimSungmin LimCoronary 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.http://kjccm.org/upload/pdf/kjccm-2015-30-4-358.pdfantiplatelet agentscoronary artery ectasialiver cirrhosisST-segment elevation myocardial infarction |
| spellingShingle | Ji Woong Roh Eun Hyea Park Joon Cheol Song Young Seung Oh Tong Yoon Kim Hyo Suk Kim Sungmin Lim ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis Korean Journal of Critical Care Medicine antiplatelet agents coronary artery ectasia liver cirrhosis ST-segment elevation myocardial infarction |
| title | ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis |
| title_full | ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis |
| title_fullStr | ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis |
| title_full_unstemmed | ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis |
| title_short | ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis |
| title_sort | st segment elevation myocardial infarction as a result of coronary artery ectasia related intracoronary thrombus in a patient with liver cirrhosis |
| topic | antiplatelet agents coronary artery ectasia liver cirrhosis ST-segment elevation myocardial infarction |
| url | http://kjccm.org/upload/pdf/kjccm-2015-30-4-358.pdf |
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