Coronary artery aneurysms in a young patient with acute myocardial infarction: a case report.
Coronary artery aneurysms are not uncommon. They are usually arteriosclerotic in origin, and may be congenital or secondary to injury, dissection, infection, inflammation, or Kawasaki disease (KD). Herein, we report a case involving a 25-year-old male smoker with acute myocardial infarction (AMI). Coronary angiography showed triple-vessel disease, coronary artery aneurysms, and diffuse ectasia. Coronary artery bypass grafting was performed without complications. Based on his history, serologic examinations, and angiographic findings, we suspected that his coronary artery aneurysms and ectasia were the adult sequelae of KD. This case is a good reminder that KD victims may suffer from young-onset AMI.
Su
Ho-Ming
HM
Department of Internal Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Voon
Wen-Chol
WC
Hsieh
Chong-Chao
CC
Chiu
Chaw-Chi
CC
Lin
Tsung-Hsien
TH
Lai
Wen-Ter
WT
Sheu
Sheng-Hsiung
SH
D000328:Adult; D003323:Coronary Aneurysm / Q000150:complications* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery; D004108:Dilatation, Pathologic / Q000150:complications; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome