Coronary Artery Ectasia with Acute Myocardial Infarction: A Case Report

Authors

  • Tofayel Uddin Ahmed Associate Professor, Department of Cardiology, Community Based Medical College, Bangladesh
  • Md Tariqul Islam Khan Registrar, Department of Cardiology, Mymensingh Medical College, Mymensingh, Bangladesh
  • AHM Hasan Associate Professor, Community Medicine, Community Based Medical College, Bangladesh
  • Shayla Shahadat Registrar, Department of Pediatrics, Community Based Medical College, Bangladesh

DOI:

https://doi.org/10.3329/cbmj.v14i2.83321

Keywords:

Coronary artery ectasia, coronary aneurysm, coronary artery disease

Abstract

Coronary artery ectasia (CAE), a rare condition characterized by abnormal dilation of the coronary arteries, has increasingly been recognized as a potential risk factor for acute myocardial infarction (AMI). While CAE is often asymptomatic, it can predispose individuals to thrombus formation, leading to occlusions and subsequent myocardial damage. Our case is a 36-year-old male with no prior medical problem who presented with chest pain and shortness of breath and was diagnosed as a non-STEMI. The coronary angiogram revealed multiple ectatic segments in the coronary artery with 100% stenosis in the circumflex branch. Coronary artery ectasia represents an emerging risk factor for acute myocardial infarction. The complex relationship between these two conditions is essential for improving diagnosis, prevention, and treatment strategies. Presentation of CAE is usually asymptomatic but when present with occlusive symptoms, management is guided by the extent of occlusion similar to coronary artery disease.  

CBMJ 2025 July: vol. 14 no. 02 P:193-197

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Published

2025-07-28

How to Cite

Ahmed, T. U., Khan, M. T. I., Hasan, A., & Shahadat, S. (2025). Coronary Artery Ectasia with Acute Myocardial Infarction: A Case Report. Community Based Medical Journal, 14(2), 193–197. https://doi.org/10.3329/cbmj.v14i2.83321

Issue

Vol. 14 No. 2 (2025)

Section

Case Reports

License

Copyright (c) 2025 Tofayel Uddin Ahmed, Md Tariqul Islam Khan, AHM Hasan, Shayla Shahadat

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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