title: A rare case of acute myocardial infarction with multivessel coronary artery ectasia successfully treated with percutaneous coronary intervention and systemic thrombolysis.
abstract: Coronary artery ectasia (CAE) is defined as a coronary artery dilatation with a diameter ≥1.5 times greater than that of a normal adjacent artery. All 3 coronary vessels can be affected by CAE, but the incidence of multivessel CAE among patients undergoing coronary angiography is quite low. We herein report an extremely rare case of acute myocardial infarction due to massive thrombi in the giant right coronary artery with multivessel CAE. Thrombus aspiration during percutaneous coronary intervention may be limited in giant coronary artery cases, and systemic thrombolysis may be effective in patients with massive thrombi in the giant coronary artery.
authors.affiliation: Department of Cardiology, Ashikaga Red Cross Hospital, Japan.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Kuno
authors.forename: Yohei
authors.initials: Y
authors.lastname: Numasawa
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Sugiyama
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamazaki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Motoda
authors.forename: Syusaku
authors.initials: S
authors.lastname: Kamei
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Takahashi
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology* / Q000503:physiopathology; D004108:Dilatation, Pathologic / Q000473:pathology* / Q000503:physiopathology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000473:pathology*; D062645:Percutaneous Coronary Intervention; D012307:Risk Factors