Korean Circ J.  2012 Jun;42(6):434-436. 10.4070/kcj.2012.42.6.434.

Two Cases of Multivessel Coronary Artery Ectasias Resulting in Acute Inferior Myocardial Infarction

• Gunduz H
• Demirtas S
• Vatan MB
• Cakar MA
• Akdemir R

• KMID: 1433866
• DOI: http://doi.org/10.4070/kcj.2012.42.6.434

Abstract

The incidence of multivessel coronary artery ectasias (CAEs) among patients undergoing coronary artery angiography is very rare. All three coronary vessels can be affected by CAE, but most patients have an isolated arterial ectasia, commonly the right coronary artery. In this report we present two cases with inferior myocardial infarction that was likely caused by thrombotic occlusion of CAEs.

Keyword

Coronary artery disease; Acute inferior myocardial infarction

MeSH Terms

Angiography
Coronary Artery Disease
Coronary Vessels
Dilatation, Pathologic
Humans
Incidence
Inferior Wall Myocardial Infarction

Figure

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  Fig. 1 Coronary angiography in case 1. A and B: ectasias of left anterior descending artery and circumflex artery in left caudal view and right caudal view. C: thrombotic occlusion in the midportion of the ectatic right coronary artery in anterioposterior cranial view.

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  Fig. 2 Coronary angiography in case 2. A: ectasias of left anterior descending artery and circumflex artery in right caudal view. B: ectatic left anterior oblique view of the ectatic right coronary artery.

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