title: Acute Coronary Syndrome in a Puerperal Patient with Coronary Artery Ectasia due to a Coronary Artery Fistula.
abstract: Coronary artery fistulas are rare and the feeding artery is ectatic and tortuous. It is not well-known whether coronary artery ectasia (CAE) is a risk factor of acute coronary syndrome (ACS) in the puerperal periods. A 40-year-old woman with a coronary artery fistula and an ectatic right coronary artery (RCA) had delivered twins. A month later, she had chest pain and coronary angiography revealed thrombogenesis in the RCA. She had no risk factors of cardiovascular disease or thrombogenesis. We should recognize that CAE is a risk factor for ACS in women in the perinatal and puerperal periods.
authors.affiliation: Division of Cardiology, Shimane University Faculty of Medicine, Japan.
authors.forename: Taiji
authors.initials: T
authors.lastname: Okada
authors.forename: Akihiro
authors.initials: A
authors.lastname: Endo
authors.forename: Simpei
authors.initials: S
authors.lastname: Ito
authors.forename: Taku
authors.initials: T
authors.lastname: Nakamura
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugamori
authors.forename: Nubuyuki
authors.initials: N
authors.lastname: Takahashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yoshitomi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Tanabe
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy; D002637:Chest Pain / Q000000981:diagnostic imaging* / Q000503:physiopathology; D017023:Coronary Angiography; D003326:Coronary Circulation; D003331:Coronary Vessels / Q000473:pathology*; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy; D004562:Electrocardiography; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D049590:Postpartum Period; D012307:Risk Factors; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D000925:Anticoagulants; D014859:Warfarin