A Case of Gigantic Ectasia of Right Coronary Artery Associated with Acute Myocardial Infarction
Korean Circulation Journal
;
: 179-184, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-41894
ABSTRACT
Coronary artery ectasia is an uncommon disorder diagnosed in 1 to 4% of patients undergoing coronary arteriography. Coronary artery ectasia is often considered a variant of atherosclerotic coronary artery disease, although other causes should be considered. Complications from this disease usually occur as thrombo-embolic phenomena primarily due to thrombosis in the ectatic segment of the coronary artery. A 53-year old man was transferred to our ER, presenting with acute inferior wall infarction. Coronary angiogram showed a gigantic ectatic right coronary artery (RCA) with occlusion of the mid portion by a huge mural thrombus. We injected and infused glycoprotein IIb-IIIa inhibitor in the RCA, however the lysis of thrombus was minimal. Subsequently, we infused Urokinase into the RCA for 2 days. Follow-up angiography revealed partial lysis of the thrombus. The patient demonstrated no thrombo-embolic events during two months of coumadinization, and follow-up angiography revealed a complete lysis of the thrombus.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Trombose
/
Varfarina
/
Doença da Artéria Coronariana
/
Angiografia
/
Glicoproteínas
/
Ativador de Plasminogênio Tipo Uroquinase
/
Seguimentos
/
Vasos Coronários
/
Dilatação Patológica
/
Infarto
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Circulation Journal
Ano de publicação:
2002
Tipo de documento:
Artigo
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