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- ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis
- Ji Woong Roh, Eun Hyea Park, Joon Cheol Song, Young Seung Oh, Tong Yoon Kim, Hyo Suk Kim, Sungmin Lim
- Korean J Crit Care Med. 2015;30(4):358-364. Published online November 30, 2015
- DOI: https://doi.org/10.4266/kjccm.2015.30.4.358
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- 2 Crossref
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Abstract
PDF - Coronary artery ectasia (CAE) is a rare condition defined as the dilatation of coronary artery to at least 1.5 times larger than the normal adjacent coronary artery. Clinical manifestations of CAE vary, ranging from asymptomatic to ST-segment elevation myocardial infarction (STEMI). Because of its rarity and clinical diversity, the best treatment strategy and prognosis for CAE remain unclear. We describe a case of STEMI caused by intracoronary thrombus formation within an ectatic area in a patient with liver cirrhosis (LC). The patient was successfully managed by thrombus aspiration only, without balloon angioplasty or stent implantation, and maintained by dual antiplatelet therapy with aspirin and ticagrelor, a potent new P2Y12 inhibitor.
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Citations
Citations to this article as recorded by
- Coronary artery Ectatic/Aneurysmatic disease: From pathophysiology to management
George Markousis-Mavrogenis, Elnaz Ebrahimihoor, Joao A.C. Lima, Brittany Weber, Juerg Schwitter, Sophie I. Mavrogeni
Progress in Cardiovascular Diseases.2026;[Epub] CrossRef - Evaluation of body-mass index in patients with coronary artery ectasia
Tolga Memioğlu, Mehmet İnanır, Murat Dıramalı, Salih Vahit Kiriş, İbrahim Güven, Kıvanç Argana, Kenan Toprak, Mehmet Özyaşar
Anatolian Current Medical Journal.2025; 7(4): 404. CrossRef
- Coronary artery Ectatic/Aneurysmatic disease: From pathophysiology to management
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