TY - BOOK AU - Ali, Laith AU - Garcia-Garcia, Hector M AU - Ghazzal, Amre AU - Gill, Gauravpal S AU - Radwan, Sohab TI - Uncommon Anatomic Predisposition to Myocardial Infarction: A Case of Coronary Artery Ectasia SN - 2168-8184 PY - 2020/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Heart & Vascular Institute KW - MedStar Washington Hospital Center KW - Medicine/Internal Medicine KW - Case Reports N2 - Coronary artery ectasia (CAE) is a recognized cause of acute coronary syndrome (ACS), and can be associated with life-threatening complications, including thrombus formation with consequent distal coronary artery embolization. Several studies have demonstrated a higher incidence of cardiovascular adverse events and cardiac death in patients with CAE or coronary artery aneurysms compared to those without such abnormalities. Management of symptomatic CAE is similar to coronary artery disease (CAD), where guideline-directed medical therapy is indicated due to coexistence of CAD with acquired CAE. Percutaneous coronary intervention can be attempted; however, it is challenging, as it is associated with lower procedural success, higher rates of stent thrombosis, and repeat revascularization. Copyright (c) 2020, Ghazzal et al UR - https://dx.doi.org/10.7759/cureus.9035 ER -