A Case of Gigantic Ectasia of Right Coronary Artery Associated with Acute Myocardial Infarction
Korean Circulation Journal
; : 179-184, 2002.
Article
在 Ko
| WPRIM
| ID: wpr-41894
Responsible library:
WPRO
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.
Key words
全文:
1
索引:
WPRIM
主要主题:
Thrombosis
/
Warfarin
/
Coronary Artery Disease
/
Angiography
/
Glycoproteins
/
Urokinase-Type Plasminogen Activator
/
Follow-Up Studies
/
Coronary Vessels
/
Dilatation, Pathologic
/
Infarction
研究类型:
Observational_studies
/
Prognostic_studies
限制:
Humans
语言:
Ko
期刊:
Korean Circulation Journal
年:
2002
类型:
Article