Acute Coronary Syndrome in a Puerperal Patient with Coronary Artery Ectasia due to a Coronary Artery Fistula

Taiji Okada; Akihiro Endo; Simpei Ito; Taku Nakamura; Takashi Sugamori; Nubuyuki Takahashi; Hiroyuki Yoshitomi; Kazuaki Tanabe

doi:10.2169/internalmedicine.55.6597

CASE REPORTS

Acute Coronary Syndrome in a Puerperal Patient with Coronary Artery Ectasia due to a Coronary Artery Fistula

Taiji Okada, Akihiro Endo, Simpei Ito, Taku Nakamura, Takashi Sugamori, Nubuyuki Takahashi, Hiroyuki Yoshitomi, Kazuaki Tanabe

著者情報

キーワード: acute coronary syndrome, coronary artery ectasia, coronary artery fistula, puerperal period, young woman

ジャーナルオープンアクセス

2016 年 55 巻 18 号 p. 2635-2638

DOI https://doi.org/10.2169/internalmedicine.55.6597

詳細

抄録

Coronary artery fistulas are rare and the feeding artery is ectatic and tortuous. It is not well-known whether coronary artery ectasia (CAE) is a risk factor of acute coronary syndrome (ACS) in the puerperal periods. A 40-year-old woman with a coronary artery fistula and an ectatic right coronary artery (RCA) had delivered twins. A month later, she had chest pain and coronary angiography revealed thrombogenesis in the RCA. She had no risk factors of cardiovascular disease or thrombogenesis. We should recognize that CAE is a risk factor for ACS in women in the perinatal and puerperal periods.

責任著者(Corresponding author)

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