title: Coronary artery ectasia presenting with thrombus embolization and acute myocardial infarction: A case report.
abstract: BACKGROUND
  Coronary artery ectasia (CAE) is characterized by an abnormal dilatation of the coronary arteries. CAE is often associated with the presence of slow coronary flow and may lead to acute myocardial infarction (AMI), even without total occlusion.
  
  
  METHODS
  We report a case of a 24-year-old male patient with CAE suffering from AMI.
  
  
  METHODS
  Percutaneous coronary intervention with aspiration thrombectomy failed to restore adequate blood flow. Heparin and antiplatelet treatment were provided for pharmacological management, but follow-up angiography 15 days later still revealed a poor result. This patient was ultimately treated with antiplatelet therapy in combination with warfarin treatment.
  
  
  RESULTS
  Follow-up coronary angiography 15 months later showed a restored normal Thrombolysis In Myocardial Infarction grade (TIMI) 3 flow.
  
  
  CONCLUSIONS
  CAE-related infarct is often associated with high-burden thrombus formation. Long-term warfarin in combination with antiplatelet therapy may be a good alternative intervention to decrease thrombus burden and enhance blood flow.
authors.affiliation: Department of Cardiology, Tianjin Medical University General Hospital, Tianjin Medical University, Tianjin, China.
authors.forename: Yongle
authors.initials: Y
authors.lastname: Li
authors.forename: Chengcheng
authors.initials: C
authors.lastname: Wu
authors.forename: Wennan
authors.initials: W
authors.lastname: Liu
mesh_terms: D003327:Coronary Disease / Q000150:complications*; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D055815:Young Adult