Multivessel coronary ectasia resulting in myocardial infarction [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2007; 35(5): 299-302

Multivessel coronary ectasia resulting in myocardial infarction

Kaan Okyay, Yusuf Tavil, Mehmet Güngör Kaya, Timur Timurkaynak
Department Of Cardiology, Gazi University, Ankara, Turkey

Coronary ectasia is an infrequent angiographic lesion commonly seen in stenotic coronary arteries. It may result in angina pectoris, even in myocardial infarction due to impaired coronary blood flow. A 70-year-old woman presented with chest pain that occurred after physical activity and lasted nearly 30 minutes. There were no pathologic findings except for a 2/6-degree systolic murmur on the left sternal border. Electrocardiography showed T-wave inversions in leads III, AVF, and V1-V3. Her chest pain did not recur following medical therapy in the coronary intensive care unit. Coronary angiography performed with the diagnosis of acute non-ST elevation myocardial infarction revealed segmental ectasia in both the left anterior descending and right coronary arteries without any obstructive lesion. The patient was discharged with medical therapy. She was followed-up for six months without chest pain.

Keywords: Coronary angiography, coronary vessel anomalies/complications, dilatation, pathologic; myocardial infarction/ etiology

How to cite this article
Kaan Okyay, Yusuf Tavil, Mehmet Güngör Kaya, Timur Timurkaynak. Multivessel coronary ectasia resulting in myocardial infarction. Turk Kardiyol Dern Ars. 2007; 35(5): 299-302

Corresponding Author: Yusuf Tavil, Türkiye
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