BIOMAT Database Logo BIOMAT Database Logo

[Coronary ectasia resulting in thrombotic coronary occlusion after warfarin interruption: a case report]. 2005

Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Division of Cardiology, Saiseikai-Suita Hospital, Osaka. shinyafukuhara@hotmail.com

A 68-year-old man taking aspirin and warfarin for ectatic right coronary artery complained of chest pain and was admitted to our hospital with acute myocardial infarction. He had discontinued taking warfarin due to nail bleeding for a month. Coronary angiography revealed total occlusion at segment 3 of the ectatic right coronary artery with massive thrombus. Because of unsuccessful reperfusion by an aspiration device, a 5F straight catheter was inserted into the ectatic right coronary artery to aspirate the massive thrombus, and Thrombolysis in Myocardial Infarction grade 3 flow reperfusion was obtained. Intravascular ultrasonography showed "moyamoya" vessels in the ectatic right coronary artery, suggesting an abnormal coronary flow pattern, but there was no evidence of unstable plaque. Warfarization should be considered to treat ectatic coronary artery.

UI MeSH Term Description Entries
D008297 Male Males
D009203 Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). Cardiovascular Stroke,Heart Attack,Myocardial Infarct,Cardiovascular Strokes,Heart Attacks,Infarct, Myocardial,Infarction, Myocardial,Infarctions, Myocardial,Infarcts, Myocardial,Myocardial Infarctions,Myocardial Infarcts,Stroke, Cardiovascular,Strokes, Cardiovascular
D003328 Coronary Thrombosis Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION. Thrombosis, Coronary,Coronary Thromboses,Thromboses, Coronary
D003331 Coronary Vessels The veins and arteries of the HEART. Coronary Arteries,Sinus Node Artery,Coronary Veins,Arteries, Coronary,Arteries, Sinus Node,Artery, Coronary,Artery, Sinus Node,Coronary Artery,Coronary Vein,Coronary Vessel,Sinus Node Arteries,Vein, Coronary,Veins, Coronary,Vessel, Coronary,Vessels, Coronary
D004108 Dilatation, Pathologic The condition of an anatomical structure's being dilated beyond normal dimensions. Ectasia,Dilatation, Pathological,Dilatations, Pathologic,Dilatations, Pathological,Pathologic Dilatation,Pathologic Dilatations,Pathological Dilatation,Pathological Dilatations
D006493 Heparin A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts. Heparinic Acid,alpha-Heparin,Heparin Sodium,Liquaemin,Sodium Heparin,Unfractionated Heparin,Heparin, Sodium,Heparin, Unfractionated,alpha Heparin
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000925 Anticoagulants Agents that prevent BLOOD CLOTTING. Anticoagulant Agent,Anticoagulant Drug,Anticoagulant,Anticoagulant Agents,Anticoagulant Drugs,Anticoagulation Agents,Indirect Thrombin Inhibitors,Agent, Anticoagulant,Agents, Anticoagulant,Agents, Anticoagulation,Drug, Anticoagulant,Drugs, Anticoagulant,Inhibitors, Indirect Thrombin,Thrombin Inhibitors, Indirect
D014859 Warfarin An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. 4-Hydroxy-3-(3-oxo-1-phenylbutyl)-2H-1-benzopyran-2-one,Aldocumar,Apo-Warfarin,Coumadin,Coumadine,Gen-Warfarin,Marevan,Tedicumar,Warfant,Warfarin Potassium,Warfarin Sodium,Potassium, Warfarin,Sodium, Warfarin

Related Publications

Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Is Coronary Artery Ectasia a Thrombotic Disease?
January 2019, Angiology,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Isolated right ventricular infarction resulting from thrombotic occlusion of a hypoplastic right coronary artery.
January 1989, Japanese heart journal,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Coronary artery ectasia--a case report and literature review.
May 1993, Angiology,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Urokinase in thrombotic coronary occlusion.
January 1989, The Medical journal of Australia,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Thrombotic Occlusion of a Giant Coronary Aneurysm After David Procedure.
October 2021, The Annals of thoracic surgery,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
ST-Elevation Myocardial Infarction in Coronary Ectasia: A Case Report.
November 2018, Diseases (Basel, Switzerland),
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Coronary Artery Ectasia with Acute Myocardial Infarction, A Case Report.
January 2020, Journal of the Saudi Heart Association,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Corneal ectasia after PRK: clinicopathologic case report.
August 2006, Cornea,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Recurrent acute coronary syndrome in a patient with right coronary artery ectasia: a case report.
March 2019, Journal of medical case reports,
Shinya Fukuhara, and Eiji Takase, and Takatomi Fujimoto, and Yasuhiro Takami, and Kazuo Yamamoto, and Taku Nishida, and Atsushi Morimoto
Is nitroglycerin detrimental in patients with coronary artery ectasia? A case report.
January 1998, Texas Heart Institute journal,
Copied contents to your clipboard!