title: [Myocardial infarction (NSTEMI) in a young patient with coronary aneurysm].
abstract: METHODS
  A 28-year-old man without a significant past medical history presented to our emergency department with severe chest pain and dyspnoa. Vital signs and the rest of the physical examination were unremarkable.
  
  
  METHODS
  The electrocardiogram showed T-wave inversions and the cardiac enzymes were elevated.
  
  
  METHODS
  Angiocardiography showed an aneurysm of the right coronary artery and a thrombus formation in its distal part. Intracoronary thrombolytic therapy was attempted an oral anticoagulation was started. Further investigations did not find the cause of the aneurysmatic RCA. The patient had no further episode of chest pain.
  
  
  CONCLUSIONS
  Acute coronary syndrome is a rare finding in patients under the age of 30 years. Coronary aneurysms with associated thrombus can be the cause of it.
authors.affiliation: Asklepios Stadtklinik Bad Tölz. mi.kulzer@asklepios.com
authors.forename: M J
authors.initials: MJ
authors.lastname: Kulzer
authors.forename: E A Q
authors.initials: EA
authors.lastname: Mooyaart
authors.forename: H
authors.initials: H
authors.lastname: Hetterich
mesh_terms: D000328:Adult; D000790:Angiocardiography; D002637:Chest Pain / Q000209:etiology*; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000188:drug therapy; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy; D012815:Signal Processing, Computer-Assisted; D054894:Spiral Cone-Beam Computed Tomography; D015912:Thrombolytic Therapy