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  3. 2022 - Volume 11 [Issue 4]
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A Case Report of Successful Fibrinolysis in a Multiple Coronary Ectasia ST-segment Elevation Myocardial Infarction Validated by Coronary Angiography

  •   Muneera AlTaweel
  •   Sarah AlSulaiman
  •   Sarah AlMukhaylid
  •   Fahad Memon
  •   Faisal AlAnazi
  •   Waleed Gado
  •   Tarek Naseef
  •   Munirah AlMakhayitah
  •   Mohannad Alokifi
  •   Abdulaziz Alazmi
  •   Asma Alismail
  •   Nada Alsultan

Cardiology and Angiology: An International Journal, Volume 11, Issue 4, Page 68-73
DOI: 10.9734/ca/2022/v11i430208
Published: 23 May 2022

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Abstract


Coronary artery ectasia (CAE) often presents in the form of an acute coronary syndrome (ACS) caused by slow blood flow leading to thrombus formation in ectatic coronary arteries. The usual approach is thrombectomy with intracoronary thrombolysis but often does not guarantee immediate blood flow. A 45-year-old male presented with anginal chest pain and was diagnosed with ST-segment elevation myocardial infarction (STEMI), managed Immediately with tissue plasminogen activator(t-PA) followed later with coronary angiography revealing diffused Multiple coronary ectasia MCEA with no identified culprit lesions afterward. The patient was followed up periodically, with favorable outcomes on daily aspirin, direct oral anticoagulant (DOAC), and guideline-directed medical therapy (GDMT) for coronary artery disease (CAD) and reduced ejection fraction heart failure (HF-rEF). This case management strategy was dictated by available resources at the time of presentation; however, it signifies the importance and favorable outcome of thrombolysis in CEA/STEMI patients. Future large-scale studies are required toward defining the duration as well as the choice of long-term anticoagulation.

Keywords:
  • Coronary artery ectasia
  • ST-segment elevation myocardial infarction
  • Fibrinolysis
  • Thrombolysis
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How to Cite

AlTaweel, M., AlSulaiman, S., AlMukhaylid, S., Memon, F., AlAnazi, F., Gado, W., Naseef, T., AlMakhayitah, M., Alokifi, M., Alazmi, A., Alismail, A., & Alsultan, N. (2022). A Case Report of Successful Fibrinolysis in a Multiple Coronary Ectasia ST-segment Elevation Myocardial Infarction Validated by Coronary Angiography. Cardiology and Angiology: An International Journal, 11(4), 68–73. https://doi.org/10.9734/ca/2022/v11i430208
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